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z, <br /> APPLICATION — ,c�KE APPROVAL <br /> z SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> q�.Fopa,. FILE NUMBER: SA- <br /> S"xi <br /> Road/Street Name - R-O-W-Width Pavement Width Curb/Gutter Sidewalks <br /> 1 p p -4 <br /> — - - - - � Yes No❑ Yes No❑ <br /> G 50-77 2 YeSM No ❑ Yes <br /> ENVIRONMENTAL INFORMATION" <br /> J� No El <br /> (USE ADDITIONAI:PAPER IF NECESSARY) <br /> Water, Drainage and Flooding' <br /> Describe any areas subject to flooding(include flood depths and flood panel rnap number): <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the project site(e.g.rivers,creeks,swales or drainage ditches): <br /> Land, land Use and.Biota <br /> Describe the site's topography(e-g.land forms,slopes,etc-): <br /> F Lv� L <br /> Describe agricultural land that will be lost as a result of the project(type of crops,acres,quality of soil,etc-): <br /> "XS. \ <br /> Describe any wildlife habitat on-site and species that are of may be present: <br /> Describe any vegetation on-site by type and extent: <br /> Air Quality <br /> Describe air pollutants that may result from the project(e 9-construction related dust,vehicle trips per day,fire places,incinerators, <br /> atc-): <br /> DEvsvCWlanrnng Applicalwn vormslSile Approval (Revised 1-3-03) Page 4 of 9 <br />