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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ;;..:.•. <br /> :x: •:.:. <br /> .:ad:.,.:. ••tit. ..<.... <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> eE51T1Pcl, ��-�r� 5 <br /> — 3 <br /> 4 rl[ tfiP� 1�-�tNv v - ----- <br /> -- - ._:. <br /> :: <br /> SIT, 17'190V E MENTS AND SERVICES.. <br /> Water <br /> Ser/ice Provider Annex-Formation Distance to Public <br /> Public Water$l Required Water (Feet) <br /> caU I W,'�-rr smell No �K�571NG <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> xx <br /> $ejwaga .Disposal :. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal A — Required Sewer Facility <br /> Y S EP<q m I rtz Pmcr NO yugrl lel C� <br /> In•site Sewage Existing Septic Systom ❑ Now Septic System ❑ Other ❑ <br /> Qisposal ❑ <br /> Storm DrisInago <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainago ❑ Roquirod to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change KOther ❑ <br /> Drainage J� <br /> lur <br /> Service Provider Distance to Service Service Provider Distance to <br /> -- Service <br /> P.6. �rE,. �XIS71�•!(� P.C,.�,.r�,. E'�ISYIf�IC� <br /> TelePfione S,'ervtce Cab16 Tb1vIsIOh'Service <br /> Sorvice Provider Distarco to Service Service Provider Distance to <br /> -- Service <br /> PA>;.It✓(C � C cl�Y(NC� CCIMN5kXP4., cA(&rev8o•l <br /> � <br /> School Service- `' _ �rbpralaot�r� serV(aa ;, <br /> Sorvico Provider Distance to Elam <br /> Service Provider Distance to Fire <br /> School Station <br /> SYo ! !t F:f&D O._�O MISS SjTDCXTt>1 T: (tW 0.30 MI�F.S <br /> xlsttn9;Roads <br /> Road/Street Name R.C.W. Width Pavement Width Curb/Gutter Sidewalks <br /> 440 Yes ❑ No Yes ❑ No 114 <br /> MINI1Z AIE� <br /> Yes❑ No% Yes ❑ No)x( <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> P� Yes ❑ No❑ Yes❑ No ❑ <br /> Yoe 0 No 0 Yoe 0 No 0 <br />