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AND SERVICES <br /> ri y <br /> ,..;:.!:::.::-r.. i.......:............;::>;•>:ii:.'•:.i:a::::•iii:i!:•i.^•:•s:.;:.::::::<.i!:::<;:•::;:;::»::»:•:`•:::::;::<:«::>:::::::>:::;;s' <br /> Public Water Service Provider: Annexation or Formation Distance to Public Water(R) <br /> Required? <br /> Existing ® CSA-44A 100' <br /> Proposed ElYes ® No ❑ <br /> Private Water: Existing Well ❑ New Well ❑ Other. <br /> fit, ry�1`t .......p,.t...,r•�'C/����ri�:. :�H i:�}�,: .mCi <br /> w�.c • <br /> Public Sewage Disposal Service Provider. Annexation or Formation Distance to Public Sewer <br /> Required? Facility(miles) <br /> Existing E] CSA-44B <br /> Proposed ® Yes® No❑ N/A <br /> Onsite Sewage Disposal: Existing Septic System ❑ New Septic System ❑ Other' <br /> .........::::. <br /> ............. .. <br /> �ynn����''��••��DD,��_=**}}j .�:�o�::: i: :�:>�:�:�:�_::> r.::<:�:�?:�:�:� ::;j:;}:�:��:::�j:�%::i�%'%=:::�:::�:•i:;:::{::Y'::is�: ;:?::::::�::;�:%::;:::;c:;::�:�ii:;;:.::;:::::�:���%::;�:;:YY' <br /> Public Storm Drainage Service Provider: Annex or Formation Terminal Drainage to: Detention- <br /> Required? Retention Ponds? <br /> Existing ❑ CSA-44B <br /> x❑ Yes® No❑ Yes❑ No <br /> Proposed ❑ <br /> Private Storm Oth <br /> Drainage: On-site Retention Pond(s) E] Natural Drainage/No Change ❑ er. <br /> .; .. :::::.:::::.......... ............ <br /> Service Provider. Distance to Senice: Service Provider: Distance to Service: <br /> P. G. & E. On Site Pac Bell On Site <br /> FIREPROTECTXa`i:SERVI E... ..... .:........ .:>:: :: <br /> SCHQ:OL..... ... ...... :.::: :,<:.:. . <br /> District Distance to School Service Provider Dist..to Fire Station <br /> Elementary: Jefferson 1/4 Mi. Tracy Rural 100 Ft. <br /> Hi School: - <br /> EXIS:Tll!G::ACCE.SS:;RC�AD:S..>;i;;:>�<>;:<-::>:::<>:;�::.::.;•;:<::;::.>:>:;!:.;:::.::.::«:�:>::.:::::.:.:::.>:. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> ti <br /> Linne Road 50' m Yes❑ No® Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> r <br />