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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed U.of Parcel Sauer.Footage <br /> or Acreage <br /> I PR a PC25e5C' C O lO Ac, <br /> PREP&SEV 67 A CR o5 %O AC, <br /> esti ID -CPE G T£ IOC . <br /> n � F slcnJArE <br /> srrp�terov�wrrrsnrmsvlc�s ,, <br /> ", <br /> Public Water Service Provider Annex-Formetlon Distance to Public <br /> Existing O Required Water(F..p <br /> Propmed❑ <br /> Private Wt.19 Existing Wall Now Wall Weil Roplacemont ❑ <br /> Sme.g.mp" �.x,��•. f .$�' ��z�;L <br /> Public Sewage Service Provk)er Annex-Formagon Distance to Public <br /> Oimposd Required Sewer F.dlfly <br /> Existing❑ <br /> Proposed❑ <br /> On-aka Sewage Existing Septic System O New Septic System g Other D <br /> Dim Posal <br /> Storm <br /> Public Storm Service Provider Annex-F..stion Tenminel Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm OnsRe Rat.,,tkn Pond(s) ❑ Natural D aineg./N.Chsnga X Other ❑ <br /> Oranege <br /> Gas <br /> Servlca Provider Distance to Service Service Provider Distance to <br /> Service <br /> 1'C. tom• O ire . G, <br /> Service PrwAder Distance W ServWe SeMoe Provider Diatenc.to <br /> Service <br /> hloNE <br /> *s�m � , iSehool 8eryke x�lyn Pfolnel(otjSMYfGb <br /> Servlca Provider Distance b Elam Service Provider <br /> School Distance to Fire <br /> _ Station <br /> �SCP1 N t rEy ii_ $CAcvN Flee SN A _ <br /> gS .''MEadang <br /> RoedStreet Nem. RO.W?Width Pavement Width Curb/GSldawelks <br /> Pc C <br /> - 7 � Yee❑ N034 yes❑ No <br /> Yee D No D Yee❑ No❑ <br /> _ Proposed RoeGa "y ,sr- z <br /> - <br /> Fond;S'roat Namo ROW.Width P.annsm Width Curb/Gutter Sidewalks <br /> Yom❑ No❑ Yes❑ No❑ <br /> Yee❑ No 0 yea 0 No❑ <br />