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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcei Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> A O - ci,� s R S.S 4-4- hi s <br /> 1B rc.In rS OS \106 la, 5,1K <br /> S i+nrj l <br /> SITE IMPROVEMENTS AND SERVICES <br /> .Water::'. <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing Re uired (Feet) <br /> Proposed❑ <br /> Private Waterx Existing Well New Well ❑ Weil Re lacement ❑ <br /> $ewa a Dis oral <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facili <br /> Existing 0 <br /> Proposed❑ <br /> On-site Sewage Existing Septic System New Septic System Other ❑ <br /> Dis osal� <br /> I <br /> ".Storm:Drama e> <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed Q <br /> Private Storm On-site Retention Pond(s) C Natural Drainage/No Chang Other ':1 <br /> Draina e< <br /> Electricity NaturalGas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Puci�c $;11 <br /> -k S,It—, Nays <br /> Schooi Service <br /> Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Lod S c1tia61s M;1 5 l_ o T&i1�-s <br /> Existing Roads <br /> Road)Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Q p 2-4 Yes❑ No� Yes L7 NaW <br /> f, v <br /> �d �� Ca1oK 4-C) ZOr Yes Nox Yes No 1X <br /> iPro posed:Roads: <br /> Road/Street Name R.O•W Width Pavement Width CurblGutter Sidewalks <br /> I <br /> 'VYes❑ No Yes❑ No❑ <br /> oK� <br /> Yes 0 No❑ ) Yes O Nast--- <br /> -3- <br />