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S <br /> o�QU• <br /> rA <br /> APPLICATION - MINOR SUBDIVISION <br /> ON <br /> "= SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> I ri �xisfang Land Uses ;, <br /> On-Site:Uses jinclude 6g Cro s : Zai4l <br /> ' Uses to the North: r dyf <br /> Uses to the East: <br /> Uses to the <br /> [Uses to the West: <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider Required {plater Feet <br /> Existing � <br /> Proposed❑ �/ �l' <br /> k <br /> Private Water❑ Existin Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewa a D's osal <br /> Annex-Formation Distance to Public <br /> 9 p Service Provider Required Sewer Facility <br /> Existing <br /> Proposed❑ L� <br /> On-site Sewa a Disposal❑ Existing Septic S stem ❑ New Se tic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Drainage Service Provider Annex-Formation Terminal Detention- <br /> Required <br /> etention- <br /> Re uired Draina a to: Retention Ponds <br /> Existing <br /> Proposed❑ . �� , �1 <br /> Private Storm Draina e❑ On-site Retention Pond s ❑ Natural Draina a/No Chane ❑ Other ❑ <br /> Electricity Natural Gas N <br /> Distance to Distance to <br /> Service Provider Service Service Provider <br /> Service <br /> FADEMSTIanning Application FonnsWinor Subdivision(Rev.92-09-04) Page 4 of 9 <br />