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APPLICATION- SITE APPROVAL PRIVATE RIGHT OF WAY • ANTIQUATED SUBDIVISION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT ....................................................:::...... ............-.. .......... ,::.;.;::.:::::.: .-/!o>:;•>i:i>:::,. »;.,f:.:::::.ri wG +f:;n•.�:;:;;_;:;L�„..wc ,waa.,...,v f,.... /,� ::.:.::.::...r::$.:•::. ../� .., ...r>....>9.................................. ri9.c??2?,YLaz:uw.a.....?clw,.if, .:,;.:::::::r....:...;..,�:✓r.,:::�.a::R:/i>.�rtpco.:,x�� tu„'�� ./Y5'.". •.may.:�i{Ji0':iy:::,:;7;�ii '•::.:'�:iii:::::::::.... .. //•h r l •rtu• zv c+r'r h97.?... biro' �i etc !+..tuc, .w- ,w�+ !3!r/,(�,:£f+/fli. fi.,s.Gf.f/::>•r..+://...iri� f::/.r 1.1 .r+///rri.�: :::................:::::n;>+>so->::i>:>sx!�'t:!>::�.,:•::..:,L' ...� .:.: �:,.•,: ••+f�.'L+ .,0!:: Public Water Service Provider Annex-Formation Distance to Proposed ❑ Required Public Water Existing ❑ (Feel) Private WaterXXXT Existing Well ❑ NOW Wep M Well Replacement ❑ f � Public Sewage Service Provider Annex-Formation Distance to Disposal Required Public Sewer Proposed ❑ Facility Existing ❑ On-site Sewage Existing Septic System ❑ New Septic System Other ❑ Disposal a< Public Storm Service Provider of Public) Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Proposed ❑ Existing ❑ Private Storm--- On-site Retention Ponds) ❑ Natural Drainage/No Change XY Other ❑ Drainage Service Provider Distance to Service Provider Distance to Service Service P.G.&E Adjacent Pacific Bell Ad'acent - ch�W Serv(c� F#... Prate t: Service Service Provider Distance to Elem Service Provider Distance to Fire School Station Lodi Unified School Dist. 2 miles Woodbridge Fire District 2 mi- e. f.. 7! 3 ��xr!s^✓f •" if fl+� Road/Street Name R.O.W.Width Pavement Width Cu:b/Gutter Sidewalks Private Road 30' 10 ' Yes ❑ No ® Yes ❑ No C9 Private Road 40' 10' Yes❑ No 0 Yes❑ No 13 -3-