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APPLICATION - SPECIAL PURPOSE PLAN <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> SITE IMPROVEMENTS AND SERVICES <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water IN Required Water(Feet) <br /> G <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ly Required Sewer Facility <br /> i w <br /> �Gl yam Cr , <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other�0 Yu <br /> Disposal❑ <br /> Storm Drainage ; <br /> Public St o Service Provider(if Public) Annex-Formation Terminal Drainage Detentlon- <br /> DrainagelRequired to: Retention Ponds <br /> Co✓n J C) <br /> Private Storm On-site Retention Pond(s)19 Natural Drainage/No Change ❑ Other <br /> Drainage i• '/.f .9e7r,.yPe47 O /.�i.:.5/,±2- <br /> Electricity ` 'Telephone Service, <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> �` ca <br /> -rl-acy gvrlal .. F:: e_ 2- I M <br /> Existing Roads <br /> Road/Sfreet Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> eo e?d ?, 1 &4 / YeS)� No❑ Yes❑ No❑ <br /> B wee le J 51 4 Ye.X No❑ Yes❑ No❑ <br /> - <br />