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i �� .P - PLAN MAP AMENDMENT ' 'zoo 0% j i� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT _ % c e: SoFILE NUMBER : Mom SITE IMPROVEMENTS AND SERVICES Water Annex- Formation Distance to Public Public Water Service Provider Proposed ❑ Required Water Feet Existing Private Water ❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex- Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed _ Existing ❑" _� ^ �1 �� ✓= = �, � ., ; , � _ ,� , ._ F On - site Sewage Disposal ❑ Existing Septic System ❑ New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider ( if Public) Annex- Formation Terminal Drainage Detention- Retention Proposed ❑ Required to : Ponds Existing ET � :. -� ._; Private Storm Drainage ❑ On -site Retention Pond (s) ❑ Natural Drainage/No Change ❑ Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service School Service Fire Protection Service Service Provider Distance to Elem Service Provider Distance to Fire Station School '�=� '� '� rai'� •, `._'- <. -'-� �`�+ ` � i,�"� �„ �" �-C ,.a�--�•'� �.� � jE`l'i 1 i..- �:a Existing Roads Road /Street Name , R . O .W. Width Pavement Width Curb/Gutter Sidewalks LN to tiS �rL � .�—` �. ` ., �� ` Yes ❑ No 0'. Yes ❑ No Q Yes ❑ No ❑ Yes ❑ No ❑ ENVIRONMENTAL INFORMATION USE ADDITIONAL PAPER , IF NECESSARY) Water, Drainage and Flooding Describe any areas subject to flooding (include flood depths and flood panel map number) : Now Describe the current depth of the ground water and depth to potable water: Describe any existing drainage courses or eroded areas on or near the project site (e . g . rivers , creeks , swales or drainage ditches) : RNDEVSVC\Planning Application Forms\ Page 5 of 7 Plan Application Amendment. doc. (Revised 05-11 -09