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APPLICATION - VARIANCE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> NOUN E M, ROOM <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water Required Water(Feet) <br /> Existing O <br /> Proposed O <br /> Private Water I Existing Well IV New Well $l Well Replacement O <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposed D <br /> On-site Sewage Existing Septic System 57 New Septic System t? Other O, <br /> Disposal J1 <br /> Public Storm Service Provider(If Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing O <br /> Proposed O <br /> Private Storm On-site Retention Pond(s) LJ Natural Drainage/No Change Zy Other O <br /> Drainage t3C <br /> MINFROOMMMM BMW <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> Pacific Gas & Electr c 200 ' SBC 200 ' <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Oak View School Dist. 3 miles Liberty fire dist . 1 . 5 miles <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Sowles Road 40 ' 20Yes o No Yes 0 No <br /> 4? <br /> Yes O No L7 Yes 0 No O <br /> Verian<eepp form r., 11/2101(lhdl <br /> -3- <br />