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APPLICATION MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :.: <br /> MY <br /> S. <br /> Parcol Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> ± �c <br /> . <br /> IT IMPRt7YMNTS ANI :SRVI !~S .. <br /> M <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water❑ Existing Well New Well O Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> •..:'..:.:.......... ::.:::..i'r'.:::v:•ii.:;. :i:::i::::::i:i vii?: <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Requires to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> ------------------------ <br /> %fr.2:tk 3:i!2: :5<5`5s5i;ti:?:'r{:::iii :•r:5Si5'•v:::i <br /> z<ale°fY`a.;.,;.;<::><:>::.`::s.:<._;;»:'v :::><%>``>%<>':<# < <br /> t <br /> ...:,. �...#�.y::.....::....,::::.t...::.::::::::.....:..::. . bit f <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> :..:..:..: :::..,::j:.. :....,:.......,....,.. <br /> :;i{<vr?'•il4i''YSi:i?;::::4:ti 4i:rii'r:::is <br /> ::$^::?:i i: :::;i{:ii' ::?is::i:: :•$$$::j:'. .. .... ........ .:i>.:;:{::ii?::;}::::i::iiii$:::i'ii::i ::::.:. <br /> ::::...:....:.,............................ .......t►tt...... ...t....Q.-...... . .. ;.............::.:::..:::: : :. : Cali e» e e ase: <br /> p.::...:...,..................... ,. L..T..LVL.1.oti.......tw... ........:..:..:.::.:..:::..:::::::...:. <br /> Service Provider Distance to Service :service Provider Distance to <br /> /� I /� Service <br /> e_ el <br /> .:Q;::,r :;:?$.'.:::$:•.,:;:>':,:::i {x:u$ ::?':i::k:;?;;: :;::a$i:;??a;:ai;i:;:r.;;i:d:;r:::;:?:a:?•>:•>:.{?{.::•:;> <br /> .::....:'.......:;:i:::.::.:.::.:;.::.>::{.:;...... . .4.. ... .... : :::'?::;:>>,:::::;>>::}:: .. :E c I s�r<rict€<'°»':>':<`'>'::<::;::;:;.:'.::> :. <br /> Service Provider Distance to Elem :Seryice Provider Distance to Fire <br /> School Station <br /> :<:>< :::;:»::>:::':::.:: :::::::::':::{«:>::::{>;::»:::::;: :::>::>:: <::........<: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> E/Ao Yes❑ NoX Yes❑ No x <br /> Yes❑ No❑ Yes❑ No❑ <br /> '.:it4....,r„4Y.4;}QI:4;{}:il ii:•i}iii�>.:•>ii::Ci':•:{:\li>'iii:iiiiv4ii:•}::!.:!.:::•:;4:Ci:::.�:::i:v::?v�v:i is i:;i:�ii:L�:�%ii::':ii': ii�;i::iy:{?•:•::::?::... X <br /> ... ...........n..v.... ....,. ...........:...,......................................... ................: .;....:.........:.... ...............::.v:.v;:...vn......r..3:••.::L:vi:•;:•:ii:::!:v;•:i:;?n+iii:i;•::::;.;:.;:.:ii:.::::- <br /> :,::::':v'.i:L'•i:n:::L.:v:4;{•i':.:i:.`•:Y::i�{,,,v:•:.iX:Yi:•:v::i iiiiii:::?:::':ij: ': :.:::::i4i:::�:is i:•i:{.iii:C::. .:::::::::::.:i:.:::::::::::::.•:::::v::.. .. :............................................ <br /> ;:.: ....v...,..::::::. ...z{•.�:::::::::::::::::::.::::::.,:::>::;;:.::,ii:;;;:?.;>iii;4;::::::ift tl tl88 .tlt1 :::::::,............:....:.....:..:,::::::::,. ................ <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br />