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APPLICATION- MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> PAACEIs
<br /> Parcel Number Existing or Proposed Use of Parc,i Squaro Footage
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<br /> Public Water Service Provider Annex-Formation Dislanco to Public
<br /> Existing ❑ Required Water (Foot)
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<br /> Private Water Existing Well New Well C1 Well Replacomonl-1-1
<br /> ::Sewago;apfsposal .
<br /> Publlc Sewage Service Provider Annox-Formation Distwico to Public
<br /> Disposal Required Sewor Fncilily
<br /> Existing ❑ —"—'--""—"'--
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<br /> On-site Sewage Existing Septic System New Septic System C Other Cl
<br /> Disposal AI
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<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Delenlion-
<br /> Drainage Required to: Retention Poral,
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<br /> Drainage
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<br /> Road/Stroot Name R.O.W. Width Pavement Width Curb/Gutter Sidowniko
<br /> Mo Yes ❑ No Yes 0 No
<br /> Yes ❑ No Cg� Yes U No 51.`
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<br /> t I Road/Stroot Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks u`
<br /> N O Yes ❑ No❑ Yes ❑ No ❑
<br /> Yos ❑ No ❑ Yes (77 No ❑
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