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f <br /> Our~ APPLICATION - MINOR SUBDIVISION <br /> � 1 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): Y e- <br /> Uses to the North: S <br /> Uses to the East: c n e <br /> Uses to the South: S <br /> Uses to the West: How e, <br /> PROPOSED PARCELS <br /> Parcel 1jumber Existing or Proposed Use of Parcel Square Footage or Acreage <br /> e-r7G� ��✓rS <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Existing❑ <br /> Proposed❑ <br /> Private Water Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing❑ <br /> Proposed ❑ <br /> On-site Sewage Disposal Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Draina a to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ <br /> Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drain a/No ChangeV Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Distance to <br /> Service Service Provider Service <br /> �� ra _7 ) � <br /> F\DEVSVS\Planning Application Fonns\Minor Subdivision(Rev.6-03-04) Page 4 of 9 <br />