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I <br /> • I APPLICTION - VARIANCE _ <br /> SAN JOAQUIN COUNTY COMMI NITY DEVELOPMENT DEPARTMENT <br /> SITE IMPROVEMENTS AND SERVICES <br /> Miter <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water Required Water(Feet) <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Water C Existing Well C New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Existing Septic System N New Septic System ❑ Other ❑ <br /> Disposal C3' <br /> Storm Drainage <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change}] Other ❑ <br /> Drainage❑ <br /> Electricity Telephone Service <br /> Service provider Distance to Service Provider Distance to <br /> Service Service <br /> PG&E (existing ) 200 ' to pol,e GTE ( existing ) 200j to pol <br /> School Service Dire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> est . 2-, mi Ripon Fire est . 3 mi <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> West Ripon Road 601 301 Yes No 10 Yes El No IR <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />