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4. <br /> APPLICATION . VARIANCE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> h ri7�,y +!f Fs'�+�11yij!�Fylf'�C&3i`A r'3 ti.. <br /> t t t yj�+��'trp <br /> T 151 <br /> 4 La�+'/, Yfii A 45}b ��. �t+l y�'e '� �,Rx L'•.Y.y' <br /> f + s. oy"qy±L� - 1 ,4•,i 4 r,,:,'•p� ar tF ltr.c r { ��# !Y. ���r� �,.r✓� s �I i+ j <br /> + 'ie�{rr;;ai.;.. .�?t � fi f ���� pg �}.y`R�' isni 9 7S.Ctl!?l� "�+ , 1 C f e.t..,1 + S �p 1• <br /> Service Provider <br /> Public Water Annex-Formation Distance to Public <br /> Existing ❑ Required Water(Feet) <br /> Proposed ❑ N/A <br /> Private Water❑ Existing Well ❑ <br /> ZiiNew Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider <br /> Disposal Annex-Formation Distance to Public <br /> ❑ Required Swer Fa <br /> clilty <br /> Proposed ❑ N/A <br /> On-site Sewage <br /> Disposal❑ Existing Septic System [3 Now Septic System [3 Other <br /> .tt�rt�ii��!041 i'����'t� <br /> �}�I�.��S�.�� ,r S+t'};��}ii S�okil�,tt�111l�gB����1ii� �'r i!��+',�•'i'll�C+ 4��$�'6��L��.1`���d�h��'�,��3+a '� '1°��rf��s�'�},//!y1 x{/�1,1`rr' <br /> ¢ h r d.+.�41 � � f:k'Y .k,:. r,,>•„ ,!;`,�di��4Q;?f�66, <br /> Public Storin Service Provider(if Public) Annex-Formation <br /> Drainage Terminal Drainage Detention- <br /> Existing 13 to: Retention Ponds <br /> Proposed ❑ N/A <br /> Private Storm On-site Retention Pond() ❑ <br /> Pond(s) <br /> Drainage❑ Natural Drainage/No Change ❑ Of/ter ❑ <br /> �> ,r " <br /> !, '€n,if.e!! "I .YP,1�S�C�t`�.(���$����+� 'Y�!`.!!.1 e 'F�1 u� r !++ Y ��r�.• „�'�"Ff �'v/''"4� r ';�;a; <br /> Service Provider Distance to service"Provider <br /> Distance to <br /> Service <br /> Service <br /> N/A <br /> N/A <br /> ' 'i.Sch00�,. -. �'{�' i� tA! .'A-+ zYA $'cl� 4 "<'1 '+ �r tr,�rt.;_t:Csf '+f"r "+`'«�'"f•:'�' r , 9 /_yo-r `. <br /> S@IY CA=i, i,�''�i ?: � t� �� ��•�, � �I�IM ,'������ fb�A¢tlt7 M1�S@;!Ch � ��i' �l� t " <br /> Service Provider Distance to Elem Service Provider <br /> School Distance to Fire <br /> N/A Station <br /> N/A <br /> i k '1 <br /> :'��onlrj}�;*- ;i�+�14,..h1�!�Y �r1, ►�F�y3�a�^ �3� �:�����'���a����n,� ���'������tn�r o����'� ,,��i'�3�tr�� ^ <br /> Road/Street Name R.O.W.Width Pavement Wldth Curb/Gutter <br /> Sidewalks <br /> FRENCH'CAMP ROAD 82' 30' <br /> Yes❑ No❑ Yes❑ No a <br /> Yes❑ No❑ Yes❑ No❑ <br /> ,r <br /> -3- <br />