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Q <br /> APPLICATION - MINOR SUBDIVISION <br /> b X <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> \ . <br /> g�jva-R��P FILE NO: MS- _ <br /> Existing Land Uses <br /> rOn7-Site- sesInclude A 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 /> �l <br /> / /r2 <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❑ Existing Well ❑ New Well ❑ We 11 Replacement ❑ <br /> Sewage Disposal — <br /> ublic <br /> Public Sewage Disposal Service Provider Annex-Formation Distance to P <br /> Existing Required Sewer Facility <br /> ❑ – <br /> Proposed❑ <br /> On-site Sewa e Dis osal❑ _ Existing Sept- System ❑ New Septic System ❑ Other <br /> Storm Drains e <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Drainage to. Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm Drains 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 /> PDEVSMPlanning Application FormsWinor Subdivision(Rev.05-11-09) Page 4 of 9 <br />