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PaV'" APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Coq C YF ORa`P <br /> Existing Land Uses <br /> FpOn-Sitenclude A Cro s : !�c 6= c " S % y4/f 496 E.� <br /> zjthlJ L'- 4 ,4-j2 t' <br /> U ' � I2: L�/� <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage-otAcreage <br /> 'r 'o A R I` ` /)L) el) : e A e- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Wij <br /> Service Provider Re uired Water Feet <br /> Existing <br /> Propose <br /> Private WaterR Existing Well New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facilitv <br /> Existing❑ <br /> Proposed ❑ <br /> On-site Sewage Disposal Existing Septic S2= Z New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Ann tion Terminal Detention- <br /> Public Storm Drainage Service Provider Re uired Drainage to: Retention Ponds <br /> Prop E] <br /> Private Storm Draina a On-site Retention Ponds ❑ Natural Draina a/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> C "r� S ry P. �� . vN 'rte <br /> F:\DEVSVS\Planning Application FonnsWinor Subdivision(Rev 2-1-11) Page 4 of 9 <br />