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`"` APPLICATION - VARIANCE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r <br /> ' FILE NUMBER: VR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed❑ <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 ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal® Existing Septic System ] New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) <br /> Required to: Ponds <br /> Proposed❑ <br /> Existing ❑ <br /> Private Storm <br /> Drainage r On-site Retention Pond(s) ElNatural Drainage/No Change ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E on-site Frontier on-site <br /> School Service Fire Protection Service <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> Ripon Unified 2.9 miles Ripon 5.3 milesF_ ' <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> E.River Road Unknown ~30' Yes ❑ No ® Yes❑ No <br /> Yes ❑ No❑ Yes ❑ No ❑ <br /> F:\DEVSVC\Planning Application Forms\Variance.doc.(Revised 5-11-09) Page 3 of 7 <br />