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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> oof <br /> OR <br /> 0W,' �i� <br /> mg <br /> X,.1 <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water El Required Water(Feet) <br /> Private Water 0 Existing Well 0 Now Well '(91 Well Replacement 0 <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal[J Required Sewer Facility <br /> On-site Sewage Existing Septic System E3 New Septic System),Z/ Other C3 <br /> Disposal 0 <br /> X <br /> g <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage 0 Required 10: Retention Ponds <br /> /1'.1 <br /> .4 41A 11V14 <br /> Private Storm On-site Retention Pond(s) [3 Natural Drainage/No Change.>< Other C <br /> Drainage 0 <br /> .............. <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> /V <br /> ............. <br /> ............ N <br /> 71 <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> O Vie. I/ea <br /> .......... <br /> ........ .. . . . . ......... <br /> X*� <br /> X".7.... <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> .. ............ <br /> Road/Streel Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> DA a & Yes C3 NoX" Yes 0 No>"' <br /> r <br /> Yes 0 No 0 Yes 0 No 0 <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 0 Nolo Yes 0 No a' <br /> Yes 0 No a Yes 0 No 0 <br />