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Pot , APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO. MS- <br /> c4t3�oa:i�`P - <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> S <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES - <br /> ---- -- Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing❑ <br /> Proposed ❑ <br /> Private Water Existin Well _ New Well L] Well Re lacement ❑ <br /> Sewage Disposal ` <br /> Annex-Formation Distance to Public <br /> rp <br /> ublic Sewage Disposal Service Provider Re uired Sewer Facilit <br /> ExistingProposed d❑ <br /> On-site Sewage Dis osal Existin Se tic S stem New Septic System ❑ Other ❑ <br /> — -- <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing❑ <br /> Proposed ❑ <br /> Private Storm Draina e On-site Retention Ponds) ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity _ _ Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> F:IDEVSVS1PIanning Application FormsWinor Subdivision(Rev.05-11-09) Page 4 of 9 <br />