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APPLICATION- MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Parcel Number Existing or Proposed Use of Parcel Square Footage
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<br /> : 51T iME�At�VM�IVTS AND'SERVIGES
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Existing ❑ Required Water(Feet)
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<br /> Private Water Existing Well New Well ❑ Well Replacement ❑
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<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, New Septic System ❑ Other ❑
<br /> Disposal
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<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Existing❑
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<br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑
<br /> Drainage
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<br /> Service Provider Distance to Service Servico Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Elem Service Provider Distance to Fire
<br /> School Station
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