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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PRQP..OSEI . ARCELS.. t. ...y..<. ...:...= <br /> v <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> 2. 2 <br /> ... :....::.::.: <br /> SIT .IMi1OI~ <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ R uired Feet <br /> Proposed❑ ... _ <br /> Private Water Existing Well ❑. New Well Well Replacement ❑ <br /> X. <br /> :.' :i.::ii.:�:i::r.;;:!n;.::.;�}:}::::,.:.`�:-.'•v'.�>i:� W fin;L;Yjv;±'':i <br /> ... . ....':.... .......,:. ......_...�. ':Olid Sik:: �.. ?..... ....:.... ....:..:... ...::... ..... ..... :� :. ., :. : :..- `: <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer 1 <br /> Disposal Required Facility <br /> Existing❑ <br /> Proposed 0 <br /> On-site Sewage Existing Septic System ❑ New Septic SystemX Other ❑ <br /> Dis Sal OL <br /> E 7 7 :Stomi:Drainag <br /> e...: <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detentlon-Retention Ponds <br /> Drainage Required to: <br /> Existing 0 <br /> Proposed❑ <br /> Private Storm On-Site Retention Pond(s) ❑ Natural Drainage/No Change Other O <br /> Drainage <br /> NaWraiGas..: <br /> i <br /> i <br /> Service Provider Distance to Service Service Provider Distance to Service j <br /> Alf <br /> Tele hone Service <br /> itbleTeie. <br /> . ..:.. .: .. .. ..:.. . .. ::.':...� visEon Service ..- <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Pcic CJ 3004, <br /> School Servlce,.;<: .... _..:::: . ':.<:.: :: ....:, }i ........Fire frOtecifon S'elvice <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School 1 <br /> L 1 vic(c h i t Gv( l J�Ie, I V 6&*IOD DL�IA� Ift7 f[ s <br /> �'.... '>Effiltid •;Rbtltlt;....,':; - .. {, ;�. .. :;.�. '<:,•. ...:::.: < ::; <br /> RoadlStreet Name R.O.W.Width Pavement Width CurbfGutter Sidewalks <br /> EJ L.J_ yes O NOX Yes❑ No <br /> Yes fl No Cl Yes 0 No❑ <br /> � . <br /> Roadlstrert NamER.O:W.Width -x_Pltveineitt'Width '^durlil 3u'tter' Sidewalks <br /> A1114 Yes D No❑ Yes❑ No❑ <br /> Yea❑ No❑ Yea O No t3 <br /> -3- <br />