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APPLICATION - MINOR SUBDIVISION <br /> *i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Bile Uses Include Ag Crops): _ v a earn <br /> Uses to the North: r O r <br /> Uses to the East: DI- rd <br /> Uses to the South: residpntiajt'( pa*tum <br /> Uses to the West: g f <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> Parcel 1 residentiali <br /> Parcel 2 a I• n t <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Existing❑ <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed❑ <br /> no wet noW t--r I and spit <br /> Private Water X] Existing Well ❑ New Well ® Well Re lacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facili <br /> Existing ❑ <br /> tv <br /> Proposed ❑ <br /> no septic rtaW after Ian sp t <br /> On-site Sewage Disposal ® Existin Se tic S stem ❑ New Se tic S stem ® Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Re uired Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Drainage 1S On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Natural Gas <br /> Distance to F Distance to <br /> Service Provider Service Service Provider I Service <br /> P G 4 E le site P G 4E Q.stte <br /> PoDEMSiPlanning Application Forms\Minor Subdivision(Rev.6-03-04) Page 4 of 9 <br />