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PLAN MAP AMENDMENT <br /> r y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER. - - <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existin2❑ <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Required Sewer Facilit <br /> Disposal Service Provider <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewa eS Other ❑ <br /> Disposal Existing Septic System E] New Septic P System <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention Retention <br /> Drainage Service Provider(if Public) Ponds <br /> Proposed F] Required to: <br /> Existing❑ <br /> Private Stor <br /> Draina e On-site Retention Pond(s) Natural Drainage/No Change ❑ Other El <br /> Electricity Telephone Service <br /> Service Provider Distance toService Service Provider Distance to Service <br /> 4 � E <br /> © N S ATE <br /> School Service Fire Protection Service <br /> Distance to Elem Service Provider Distance to Fire Station <br /> Service Provider School <br /> LopI Um IEU> r'lILC cro© t3aIID4E r^ I E <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Frzoa7446- Q4 Yes ❑ No Yes ❑ No <br /> Yes ❑ No ❑ Yes ❑ No❑ <br /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER, IF NECESSARY <br /> Water, Drainage and Flooding <br /> Describe any areas subject to flooding (include flood depths and flood panel map number): <br /> o J_7 A.10 <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the project site (e.g. rivers, creeks, swales or drainage ditches): <br /> t10 KCL�-JMt-4 V 6(Z ►^ kL SOU H <br /> F.\DEVSVC\Planning Application Forms\ Page 5 of 7 <br /> Plan Application Amendment doc (Revised 11-05-07 <br />