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APPLICATION- SITE APPROVAL
<br /> PRIVATE RIGHT OF WAY- ANTIQUATED SUBDIVISION
<br /> �1 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> n i. r1'.,`S��n tf '� i ' ; f l' rTH �, — ..,. .. } �U ,..- 4n., �f � {♦ t �
<br /> SIT,EIMPR,O,VEMENTS.4ND,tS�RyVICES���
<br /> f ;YI �r 1 l.t�y� i ,� i...— li 1 f i rife, z va"!' s��t11 f}}'�hy4latT�'Ll '�✓SK 'jT{ y �� +�•.u•, '��
<br /> 'Wb W a.`�" �r-, '
<br /> Public Water Service Provider Annex-Formation Distance to Public Water
<br /> Proposed❑ Required (Feet)
<br /> Existing❑
<br /> Private Waleri Existing Well ❑ Now Well ❑ Well Replacement ❑
<br /> y.-•.1.•i llti -}�,t. '�f��M�, ,}r f l{..° r t,, 'f'h I r t e +•.�:m 1..-�., /...�.�5.m•i'�:'f"fi t1
<br /> pSS i�, i ,a{!'!njj ! �+b'� li� I;� ` tr ,r t4 :tt
<br /> 1 1 1
<br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer
<br /> Disposal Required Facility
<br /> Proposed❑
<br /> Existing❑
<br /> On-site Sowage Existing Septic System ❑ Now Septic System ® Other ❑
<br /> Disposal 0
<br /> r yFf wY'� 49• �t:�. '�,ii�d i 1.j t�y t,r i,� i:;� �t* 'r"�"1 +11'r{T?;S "i`1`
<br /> A� gSform L► a nage ,+t ,
<br /> Public Storm Service Provider(it'Public) Annex-Formation Terminal Drainage Detention-Retention
<br /> Drainage Required to: Ponds
<br /> Proposed❑
<br /> Existing❑
<br /> Private Storm On-site Relention Pond(s) & Natural Drainage/No Change ❑
<br /> Other ❑
<br /> Drainage■
<br /> .0+ ..��li .r�'�ylyL 1.1i•.� �.j f a ', N�� L1, f + i r'yfe'.,:,•.isA Cf:L.`,n:_ �
<br /> '1 "f l.. `7ci 4a'l�lz � 1�i,'WLL'. ! Y F'4 '1' 11,7i.�r 44
<br /> Electrlclty 1;', x:., 41 ; t > #1 <,, ' °Telephone ServIce t "•.r+�,� 1
<br /> Servico Providor Distanco to Sorvice Sorvico Providor Distanco to Sorvice
<br /> u��liL L�uSt ��klc-� �,L 0n es C_ vyl-5,
<br /> -,�
<br /> I" 'cif 1 a, r ll'."il ,.t . ♦1 �Sr y Sy y, •�(. q _ f�, �w 'Prot chool{Sorvlce. ' Is
<br /> p6do
<br /> SectocYyef1 � f'rJ�V �y
<br /> tt , �
<br /> Service Provider Distance to Elem Service Provider Distance to Fire
<br /> ,`` II II School Station
<br /> L �V1 Uh, 5m �es
<br /> Exlstincr Roads{ �w. Ir ;ku�� s '� t':r� ,.: �r ���ff, _
<br /> t dI����e?4t1s� ;
<br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks
<br /> 0� 50 Yes No® Yes No®
<br /> Yes❑ No 19 Yes❑ No
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