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x <br /> APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :.:«:.:.'t4.: <br /> ixii <br /> ::ft.:i'•i'.:: ii::r:.::.;:.::.:4'::ii:::::v.:::.::.::.:'.;'.;;:;<.;:.:::.; <br /> ::::::::......,....:..:,•:........,.......::::...:::..::;.;:;.:::.::.,::...::.::.::::.:.<t;:..:,..;::i.::4i;>:i>::.i:4i;:.iii:4;t::::r:>:«><::..:......,.............: <br /> 3: .: :•ir•:>i••i:•::ao:::•>•;;:;•;f.:;:;:4;::i:4::i:o-:;:r.;x:...•:::•:.:::ii:•i.i;y:::,;•:: <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> i Art.4 is Rain L- v I foo Ars. + <br /> SITE IMPROVEMENTS AN :ttR' ftES <br /> .......... <br /> .............. <br /> Water . ............ <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water(Feet) <br /> Private Water)K Existing Well )K New Well ❑ Well Replacement ❑ <br /> awaytl lept,eA% <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 /> Disposalx <br /> ::::•.:�:.........,.::...:•.:v.:•::.;:...:..n}::::n•.:•:::4i:iiis;y:::i•::'::.::.::.:..:....:.....:::.:::.:•..:::, .. ::i•:'::.::::::.:,:::.:w::::::::::;:..:v:vF'iii:::::hi:.�i:is:i«vi::::<i:iY.}:::F:'�:::>::v:::!:tiff:.:..:.....:::. <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage D Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ;F( Other ❑ <br /> Drainase <br /> IectriaNy Nawral GAS <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> one-, <br /> :.:..............:::::::.................. ................ . :. .. ...,. . .. ............................. .. . <br /> ............ <br /> :.........:......:.:::::. <br /> y OVrV <br /> 21rt. <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> 91sin Sun Slew) . �{- K,ile� ire w �e�cusal�rn �O m Ips <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> i <br /> Ga T^T—� Road Var% Yes❑ NOX Yes❑ No <br /> TT Yes❑ No❑ Yes❑ No❑ <br /> - ;:::.:...:::,;::.;at ;•.,,•'�•:�:>3FFirF:��:.F::::4:.>.zz't:r>;r3:a;:;;F;: <br /> .:.... .....: ...:,:,:.:.::....:::r. prapo�►tld lit►eda <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Nonce Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> � h <br />