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<br /> APPLICATION- SITE APPROVAL .
<br /> PRIVATE RIGHT OF WAY - ANTIQUATED SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Public Sewage Service Provider Annex-Formation Distance to
<br /> Disposal Required Public Sewer
<br /> Proposed ❑ Facility
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<br /> On•stte Sew a s Existing Septic System K New Septic System Other ❑
<br /> Disposal II
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<br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Proposed❑
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<br /> Private Storm On-stte Retention Pond(*) ❑ Natural Drainage/No Change Other ❑
<br /> Drainage❑
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<br /> Service Provider Distance to Service Provider ' - Distance to
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<br /> Service prover Distance to Fire
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> T—e a Yes❑ No`X Yes❑ No
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