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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use or Parcel Square Footage <br /> L / -//T or/Acrea7 e <br /> ter. ` <br /> Li <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-FormationD/stance to Public Water <br /> Existing o <br /> Proposed o Required (Feet) <br /> Private Water Existin Well o New Well o Well Replacement o <br /> Sewa a Dls oral <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal <br /> Existing Required Facility <br /> Proposed o <br /> On-site Sewage Existing Septic System o New Septic System o Other o <br /> Dis osal o <br /> Storm Dram e <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to; <br /> Existing o <br /> Proposed fir 'Private Storm On-site Retention Pond(s) o Natural Drainage/No Change o Other o <br /> Dralnago o <br /> Electricity Natural Gas <br /> Service Provider Distance to Sorvice Provider Distance to Service <br /> Servlc <br /> 4/11 <br /> Tele hone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> N�ii4f a <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Existing Roads <br /> PR <br /> R.O.W. Width Pavement Width Curb/Gutter SidewalksYes o No O' Yes o No <br /> Yes o No Yes o No o'er <br /> Pro osed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yes o No o Yes o No 0 <br /> gxox::mmrr ru �-imo� uxm <br />