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APPLICATION — VARIANCE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <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 /> Propose <br /> Existing Farmington Water Company <br /> Private Water❑ Existing Well ❑ New Well X Well Replacement ❑ <br /> Sewage Disposal.. . <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existing❑ NIA <br /> e <br /> On-site Swage <br /> Do ❑ 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) Required to: Ponds <br /> Proposed❑ <br /> Existing❑ <br /> Private Storm <br /> Drainage On-site Retention Pond(s) ❑ Natural Drainage/No Change X Other ❑ <br /> Electricity Telephone.Service <br /> Distance to <br /> Service Provider Service I Service Provider Distance to Service <br /> P&E 400' NIA N/A <br /> School Service:: <br /> Fire Protection Service <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> Escalon Unified 1,600' Farmin ton District 1,400' <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Escalon-Bellota Road 60' 25' Yes ❑ NON Yes ❑ No <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> F:IDEVSVC1Planning Application FormslVariance.doc.(Revised 5-11-09) Page 3 of 7 <br />