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PLAN MAP AMENDMENT <br /> y ' < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - <br /> 9�ia` <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Wa!ey Service Provider <br /> Proposed Required Water Feet <br /> Existin ❑ W�`".`^JW I�t tYl f2 V1 c �" SfrL-�T <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed P.SC ST-r�o--.i TWX4 serer apt <br /> Existing❑ Nb SEc-c <br /> On-site Sewage <br /> Disposal ❑ Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ N O S <br /> Private Storm <br /> Drainage ❑ On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> S v S c3 t o �u 't5'v <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> O IYes ❑ No 9 Yes❑ No <br /> Yes ❑ No El Yes ❑ No ElENVIRONMENTAL 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 /> pio-Ic t-L c.a,'A LE <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 /> F:\DEVSVC\Planning Application Forms\ Page 5 of 7 <br /> Plan Aoolication Amencimant rine IP—i—ri R_ni-nd1 <br />