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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED:PARCELS. :...,:... <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> 1 Financing Parcel - Homesite 2.3 <br /> SITE IMEROVEMENTSAND:SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required Feet <br /> Proposed❑ <br /> Private Water❑ Existing Well ❑ New WellV ment ❑ <br /> SeWA60 oral <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System II Other ❑ <br /> Disposal❑ <br /> 'Storm bratna e " > -: <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to. <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change XI Other ❑ <br /> Draina e❑ <br /> Electrical _ Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PG&E on—site None <br /> Tele hone Service _ Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Pac—Bell 500° None <br /> School Service Pire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Clements 6 mile Clements 5 mile <br /> Ex Sting Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No Yes❑ No A <br /> Harney Road 60' 24t <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> ENone <br /> Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />