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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS-------- <br /> Existing <br /> S-_ —Existing Land Uses <br /> On-Site Uses Include Crops): <br /> Uses to the North: - <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: V <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing ❑ <br /> Proposed❑ <br /> Private Water Existing Well ❑ New Well Well Re lacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Re uired Sewer Facility <br /> Existing ❑ <br /> Proposed❑ <br /> On-site Sewage DIs osal Existing Septic System New Septic System X Other ❑ <br /> Storm Drainage . <br /> Annex-Formation Terminal Detention- <br /> Public SII rm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing❑ <br /> Proposed ❑ <br /> Private Storm Drainage On-site Retention Ponds Natural Drainage/No Chane ❑ Other [] <br /> Electricity Natural Gas <br /> Distance to <br /> Distance to <br /> {� Service Provider Service Service Provider Service <br /> F:IDEVSVSNIer m,xppliuIb.n Fw .MkIOR SUBDIVISION(Rev.6.03-04) Page 4 of 9 <br />