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APPLICATION - QUARRY EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> APPLICATION FORM <br /> ' TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Ap}Iicant fntormalfon AWicant Information` <br /> Name: A A. Bob Allen , (, Name: <br /> Address: 2904 B e e r Lane Address: <br /> Ca . 95215-2038 <br /> Phone: ( 2 0 9) 931-3535 <br /> Phone: <br /> PROPERTY AND VICINITY DESCRIPTION <br /> »s:: ::: Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Williamson Act <br /> APN 021-080-13 , 021-070-01 , Contract <br /> 019-170-15 , 019-170-16 Yes 0 N <br /> P ❑ <br /> property Address: <br /> E risdng land Uses <br /> On-Site Uses (Include Ag Crops): None — This is to improve area for agriculture use . <br /> Uses to the North: Farm Land <br /> Uses to the East: Farm Land <br /> Uses to the South: Farm Land & Mokelumne River <br /> Uses to the West: Farm Land <br /> SITE IMPROVEMENTS AND SERVICES <br /> Witter <br /> Public Water: Service Provider Annex-Formation Required Distance to Public Water (Feet) <br /> Existing ❑ Water ruc <br /> Proposed ❑ Allen s <br /> Private Water Existing Well <br /> 7NewWell ❑ Well Replacement ❑ <br /> Disposad <br /> Public Sewage Disposal: Service Provider Annex-Formation Required Distance to Public Sewer <br /> Existing ❑ Waste Mgm t . of Facility <br /> Proposed ❑ Stockton . <br /> Portable Outhouse <br /> On-site Sewage Disposal ❑ Existing Septic System New Septic System ❑ Othe• ❑ <br /> arw iu rs ai+ratyas <br /> Public Storm Drainage Annex-Formation Required Terminal Drainage to: Detention-Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Drainage ❑ On-site Retention Pond(s) Natural Drainage/No Other ❑ <br /> Change <br />