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AaU'" APPLICATION MINOR SUBDIVISION <br /> o.• - <br /> y �' < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> 0 <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: ReiwL us <br /> Uses to the South: C v / <br /> Uses to the West: � d e d <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing VPropose ❑ Crct e c c-, <br /> Private Water❑ Existin Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Ann tion Distance to Public <br /> Public Sewage Disposal Service Provider Re uiredI Sewer Facility <br /> Existing <br /> Proposed ❑ <br /> -r & SS <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 Draina a to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Pr vale Storm <br /> Drainage( On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> r 5 <br /> F:\DEVSVS\Planning Application Fonns\Minor Subdivision(Rev 2-1-11) Page 4 of 9 <br />