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4t1�[ AP .i <br /> PLICATION - MIN SUBDIV <br /> ISIoN <br /> SAN JOAQUIN-COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> o,. <br /> �'1 <br /> `. <br /> Lx.et�a,g,i;and Uses <br /> On-Site Uses Include Ag Cro s : G <br /> Uses, <br /> ses to the North: <br /> F <br /> Uses to the`East: [� <br /> Uses to the South: <br /> Uses to the West: -' <br /> f <br /> I'I bPQSED PARCELS <br /> Parcel Number Existing or Proposed Use of.Parce'l Square Footage or Acreage' <br /> SITE�IMP'ALVEM)�NTS AND.SEI Vid,E$ <br /> Water <br /> Annex Formation Distance to Public <br /> Public Wafer Service Provider <br /> Existing E] Required Water Feet <br /> Proposed❑ - <br /> Private Water <br /> El <br /> Weli. New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Re uired Sewer Facility <br /> Existing❑ . <br /> tProposed❑ <br /> .n-71,1.Sewa a Dis osal❑ Existing Septic System New Se tic S stem ❑ Other ❑ <br /> Storm Dralnage. <br /> Public Storm Drainage Service Provider Annex-Formation Terminal Detention- <br /> Existing ElRequired Drainage to: Retention Ponds <br /> Proposed❑ <br /> Private Storm Draina l❑ On-site Retention Porid(s ❑ Natural Drainage/No Chane ML Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> 64s j-�f R-6-M. <br /> FMEVSVS)PIanning Application Forms\Mlnor subdivision(Rev.12.09-04) Page 4 of 9 <br />