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APPLICAT9 <br /> N--DEVIATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT" <br /> Mli <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water Required Water(Feet) <br /> Existing ❑ <br /> Proposed L7 <br /> Private Water❑ Existing Well ❑x New Well ❑ Well Replacement ❑ <br /> _x N :;H <br /> Iia $ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Disposal <br /> Public Storm Service Provider(if Public) Annex-Formatton Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm On-site Retention Ponds) ❑ Natural Drainage/No Change Y Other ❑ <br /> Drainage❑ <br /> 0 <br /> 1 f e n <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> ECS&� SBC <br /> x. c eNa r° <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Lodi School. District 1/2 mile Morada Waterloo 1-2 miles <br /> I, f 11015110 <br /> Road/Sfreet Name.,, R.O.W.Width pavement Width Curb/Gutter . Sidewalks <br /> Raymond Court Yes FANo❑ Yes C No) <br /> Yes❑ No❑ .Yes❑ No❑ <br /> -3- <br />