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04 1%1114��4,Vj 01ki I DI ! <br /> Public Water Service Provider: Annexation or Formation Distance to Public Water(41) <br /> Required? <br /> Existing ❑ <br /> Proposed ❑ Yes n No ❑ <br /> Private Water: X Existing Well ® New Well ❑ Other. <br /> I <br /> Public Sewage Disposal Service Provider. Annexation or Formation Distance to Public Sewer <br /> Required? Faciiiry(miles) <br /> Existing ❑ <br /> Proposed ❑ Yes❑ No❑ <br /> On-site Sewage Dispmal:X Existing Septic System ® New Septic System ❑ Other: <br /> %'TQRtI DRINGE <br /> Public Storm Drainage Service Provider: Annex or Formation Terminal Drainage to: Dewntio,r <br /> Required? Retention P-nds? <br /> Existing ❑ <br /> Proms E] Yes❑ No❑ Yes❑ No F-7 <br /> Private Storm <br /> Drainage:XOn-site Retention Pond(s) ❑ Natural DIaina&VN-Change Cl <br /> �LEC7RIt= TY :: .... . :.: .TELEPHC?.1`I SERVICE ss <br /> Service Provider. Distance to Service: Service Provider: Distance to Service: <br /> P.G.&E. Adjacent SBC Adiacent <br /> gt4:' CTI..(�NRVI. <br /> Dict Lodi Unified Distance to School Service Provider Dist..toFat Station <br /> Elementary: Live Oak 1 mile Lodi 3 miles <br /> High School Tokay 3 miles <br /> Mang, :i+Y.��i�:..,.__. �....::.o.It`:....cy.a.R.....i.. .:.,:.:-[..__y,.;• <br /> Road/Strcct Name R.O.W.Width Paivement Width curb/cutter Sidewalks <br /> I .- <br /> Morse Rd. 40' 18' Yes❑ N.[K Yes❑ No[� <br /> Highway 99 Frontage 40' 27' 1 Yes❑ No Yes❑ 'ra <br /> Cora Post 40' & 50' 20' X X <br /> t► <br />