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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> # RaP9 `' 1CLS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> for Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement [71 <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ F Required Sewer Facility <br /> On-site Sewa a Existing Septic System New Septic System ❑ Other ❑ <br /> Disposal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> Efbctrktty Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Telephone ServiceCable Television Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> an- Si � <br /> ;Soh opl.:Servrce......; Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> 40 al, anb2n Sc oa / m �' C/l�rnlo';I s <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> fQ0 f / Yes❑ No IZtI, Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> .: .... .................. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes 0 No 0 Yes 0 No 0 <br />