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U I ty PLAN IwAP AMENDMENT <br /> e- <br /> M JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - - <br /> q�Ij�oR� <br /> � <br /> i aE;::S' .♦ �Rsar +s�I tr``z.. <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> E isting❑ <br /> Private Water❑ Existing Well ❑ New Well Well Replacement ❑ <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Fadfity <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal❑ Existing Septic System ❑ New Septic System Other ❑ <br /> Storm b�amage: <br /> Public Storm a Detention-Retention Annex-Formation Terminal Drainage Drainage Service Provider(if Public) 9 <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Pond(s) Natural Drainage/No Change Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> D-tr'S�fE pti seT& <br /> Schprgk.S.etYlce Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> LLs d awT 14,(1,4e, <br /> Existiog-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 /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER, IF NECESSARY <br /> Water,Drainage and Flooding <br /> Describe any areas subject to flooding (include flood depths and flood panel map number): <br /> A/it, <br /> Describe the current depth of the ground water and depth to potable water: �f <br /> Describe any existing drainage courses or eroded areas on or near the project site (e.g. rivers,creeks,swales or drainage ditches): <br /> Qt_XZ1 <br /> F:\DEVSVC\Planning Application Fortes\ Page 5 of 7 <br /> Plan Application Amendment.doc.(Revised 6-03-04) <br />