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PLAN MAP AMENDMENT <br /> W. •;j SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - - <br /> 4�%F ORS <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public WatAnnex Formation Distance to Public <br /> Service Provider e <br /> Proposed — Required Water Feet <br /> Existing ❑ <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 �/�.ST STTo-►J �v�C"„i.r tqn•� �'nr�^ \DIWQKZ <br /> Existin ❑ N b 5(lz��i <br /> On-site Sewage <br /> Di, osal❑ 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 OIF <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 u 'ST(rCnC�f , Wwl t <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> O ' Yes ❑ Nod 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 /> t^j t!T <br /> Describe the current depth of the ground water and depth to potable water: <br /> N67 Acer CiC ✓}rl c <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 ADDliration Amenrimant rine IP—A-1 a_nv_neN <br />