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'0P c° <br /> APPLICATION' — QUARRY EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPART <br /> . �• '+�P • MENT <br /> 4CjF�•Ri�� FILE NUMBER: QX_ <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed F] Required <br /> Existin <br /> E] Water Feet <br /> Private Water❑ Existinq Well ❑ <br /> kpa <br /> w Well ❑ Well Replacement <br /> ❑ <br /> Public Sewage *ProvVier <br /> i <br /> Disposal Annex-Formation Distance to Public <br /> Proposed ❑ Servic <br /> Re uired Sewer Facility <br /> Existin ❑ <br /> On-site Sewage <br /> Dis osal ❑ Existing Septic S tem ❑ <br /> New Septic System ❑ Other ❑ <br /> Public Storm St rm Drainage <br /> Drainage Service Provider(if Public) Annex-Formation <br /> Proposed❑ Terminal Drainage Detention-Retention <br /> Existing ❑ Required to: <br /> Ponds <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ <br /> Natural Drainage/No Chane ❑ Other ❑ <br /> F OEVSMPlanning Application Formsl <br /> Quarry Excavation.doc.(Revised 02-03-10) Page 3 of 19 <br />