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APPLICATION - <br /> MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> •.- P FILE NO- MS- <br /> - <br /> I� — <br /> On-Site Uses Include Aq Cro 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 /> .4 <br /> SITE IMPROVf=MENTS 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❑ a:xisting Well ❑ New Well ❑ Weli Rep'acement ❑ <br /> Sewage Disposal -- <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Disposal❑ Existing Septic System ❑ New Septic System ❑ Other ❑ <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 Pond(s ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> F71DEVSVS1P1anning Application Forms\Minor Subdivision(Rev.06-11-09) Page 4 of 9 <br />