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SAN J OAQ U I N c;OMRAI INITY I )LVELOPMENT DEPARTMENT <br /> (-cat,N'I y MOUNTAIN HOUSE <br /> .i„ J,I , . PLAN AND DEVELOPMENT TITLE <br /> APPLICATION/AMENDMENT <br /> FILE NUMBER: <br /> PI�ZOI'ERTY SITE IMPROVEMENTS AND SERVICES <br /> — - --- - Water <br /> Public Servlce Provider: Will Serve Leller Provided Distance to Public Water: <br /> o MHCSD a 0' <br /> Private Existing Well New VVPII Well Replacement <br /> ❑ ❑ L1 ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sever: <br /> E MHCSD E-J 0' <br /> Private Existing Septic System New Septir.System Septic System Replacement <br /> Ii 13 ❑ ❑ <br /> Storm Dralliage <br /> Public Service ProvUcr: Will Serve Letter Provided DlstanCe to Public Slorm Drain: <br /> Iii MHCSD 19 Or <br /> Private Existing On-site Retention Pond New On-slie Retention Pond Natural Drainage <br /> ❑ ❑ n ❑ <br /> Electricity Telephone Service <br /> Service Provider: Distance to Service: Service provider: Distance to Service, <br /> MID Q' AT&T U <br /> Fire Protectloo Servico <br /> Service Providor. Distance to Fire Station: <br /> MHCSD 1 French Camp Fire F.D. <br /> Sottool Service <br /> District: Distance to School, <br /> Elementary:LUSD <br /> High School. <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No[] <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> Page 4 of 7 <br />