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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 /> SME:IMP ROVEMENTSAND SERVICES - <br /> Wates <br /> Public Water Service Provider Annex-Form <br /> a <br /> uon Distance to Puolic Nater i <br /> Existing O Required (Feet) <br /> Proposed <br /> I <br /> Prrvate Wate'v Existing Weil New Well 0 Weil Replacement C <br /> Sewage Oltsposat <br /> I <br /> Puolie Sewage Service Provider Annex-Formation I Distance to Puelic Sewer <br /> Disposal Required Facility <br /> Existing 0 <br /> Proposed 0 <br /> On-sue Sewage I Existing Septic System New Septic System C Other C <br /> Disposal I <br /> Storm Drainage <br /> Puoiic Storm Service Provider Annex-;ormation Terminal Drainage Detention-Retenuon Panes <br /> Drainage Required to, <br /> Extsong t7 <br /> Proposed C <br /> Private Storm On-site Retention Ponos) LE Natural DrainagerNo Change Ctner <br /> Orainaoe� <br /> E'ecmc.ty 11atural Gas <br /> Service Provider I Distance to Service I Service Provider I Distance to Service <br /> Telephone Service Cable Television Service <br /> i <br /> Service P,ovider Distance to Service Service Provider Cistance:o Sernc_ <br /> �C J C I j <br /> Scnool Service I Fire ?rotection Service <br /> Service Provieer Oistance to Clem Service Provider Distance to Fire Stauon <br /> Sc:tool <br /> 'Orec <br /> Existing Roads <br /> RoaciStreet Name R.D.'N.'Nd in I Pavement'Niom I CurdGurer Sidewalks <br /> yes,: No= I Yes No= <br /> \ I I Yes C No C I Yrs= No= <br /> Pr000sed Roads <br /> I <br /> RoaclStreet.Name I R.O.W.'I"M I ?avementNidm I �urt)4uner I Sidewaiks <br /> I .. <br /> NO Z I Yes._ No_ --) <br /> I <br />