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t <br /> r <br /> .. .:.� ��h•..,. �K:4: �`.:.e,?.a.�..,feL'h�:. _�.,y�:, -,:- .,.r�'d. a*;iam�.;�i'«y: -.. � �.yr _G,�1:.a;rp..�eyr;:A,:t."•.,*r. .i..,...e.- .-. ... a,' ...,...c�c� <br /> APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSEQ<PAECE>=S<a <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acrea e <br /> r� <br /> /ZO <br /> SrTEIMPR01fElNE[�LTSQEVa SERVICES <br /> .;.Water.; ... .::.: •:... <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Required (Feet) <br /> Existing❑ <br /> Proposed❑ <br /> Private Water Existing Well <br /> New Well <br /> :e <br /> ll Replacement 0 <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> R uired Facill <br /> Disposal <br /> Existing❑ <br /> Proposed❑ <br /> On-site SOV2 e Existing Septic System New Septic System ❑ Other ❑ <br /> Olsoosal <br /> Stom►:Drama <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage <br /> Reouired to: <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) C3Natural DrainagdNo Change Omer C3 <br /> Oraina e C <br /> i Natural Gas.. <br /> Electricav <br /> Service Provider OlsUnce to Service Service Provider Distance to Service <br /> p Et ) i (f <br /> Telephone Service <br /> ~'Cable Television Service <br /> Service Provider Distance to Service <br /> Service Provider Distance to Service <br /> School Service <br /> Fire Protect(on Service <br /> Service Provider I Distance to Elem <br /> Service Provider Distance to Fire Station <br /> School <br /> 'Ole ei <br /> Existing Roads <br /> I, R.O.W.Widen <br /> Pavement Width CurblGutter I Sidewalks <br /> Road/Street Name <br /> �_z_ I Yes C3Nof( Yes❑ No <br /> { I i <br /> I Yes❑ you Yes C No C � <br /> I , <br /> .... 'Proo�PavementMdth <br /> ads� - - <br /> Curb/Gutter Sidewalks <br /> Road/Street Name I R•O•WWidI <br /> Yes❑ No❑. I Yes❑ No❑ <br /> I Yes u Na u Yes❑ No G <br /> i <br /> • yr <br />