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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> _07101c . I-Q4zl5 ' ac . <br /> /cl . l on s t <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required (Feet) <br /> Proposed❑ <br /> 'q lvllq <br /> Private Water§iC Existing Well New Well El Well Replacement ❑ <br /> Sewa a Dis oral <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing U <br /> Proposed❑ /4V/ <br /> On-site Sewage Existing Septic Sys tein New Septic System ❑ Other ❑ <br /> Dis osal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed❑ /y/11? <br /> Private Storm On-site Retention Pond(s) ❑ Natural DrainagelNo Change Other ❑ <br /> Draina e <br /> Electric.ty Natural Gas <br /> ,t Service Provider Distance to Service Service Provider Distance to Service <br /> t,t41Q <br /> Tele hone Service Cable Television Service <br /> Service Provider Di tante to Servicp Service Provider Distance to Service <br /> A,/ <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> i i. Rural <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 24 le t Yes❑ No Yes U NoX <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> J Yes U No U Yes U No U <br /> -3- <br />