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APPLICATION- MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> PARCELS:: ,:
<br /> Parcel Number Existing or Proposed Uso of Parcel Squaro Footage
<br /> _ or Acrcnac�
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<br /> Public Water Service Provider Annex-Formation Distance to h ul-Ilc
<br /> Existing ❑ Required Writer (Fool)
<br /> Proposed ❑
<br /> Pnvato Water 0 Existing Well Now Well ❑ —
<br /> Well Replacemonl.(l
<br /> Sown o
<br /> Public Sewage Service Provider Annox-Formation Urslanco to Ful)licY
<br /> Disposal
<br /> Existing ❑ Required Sower Fnr,ilit}
<br /> Proposed ❑ ---- -T
<br /> On-site Sewage Existing Septic System JSQ New Septic System ❑ Other 0
<br /> Disposaig
<br /> 777
<br /> Storm Drainage.
<br /> Public Storm Service Provider Annex-Formation Terminal Drainage
<br /> Detention.�n
<br /> Drainage Required to: Retention Ponds
<br /> Existing ❑ _ _
<br /> Proposed ❑
<br /> Private Storm
<br /> Drainage On-site Retention Pond(s) ❑ Natural Drainage/No Change f� Other ❑ -
<br /> �'
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<br /> Service Provider Distance to Service Service Provider Distancu to
<br /> Sorvlco
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<br /> Service Provider Distance to Service Service Provider to
<br /> Cistance to
<br /> Serviro
<br /> PAS --
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<br /> F't61egtlott SCtvI
<br /> Service Provider Distance to Elom Service Provider
<br /> Dlslanco to Fir
<br /> School Slotion
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<br /> Road/Stroet Name R.O.W. Width Pavement Width Curb/Gutter -
<br /> �Idewalk�20, Yes ❑ No j� Yes ❑ No
<br /> Z
<br /> v
<br /> Yes
<br /> ❑ No
<br /> Y
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<br /> Road/Street Name R.O.W. Width Pavement Width
<br /> Gurb/Gutter Si
<br /> dowalks
<br /> Yos ❑ No ❑ Yes D No 0
<br /> Yes ❑ No ❑ Yes 17 No ❑
<br /> -3-
<br />
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