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:APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> F x <br /> isting,Lan�l Uses f <br /> On-Site Uses include Ag Cro QC.OA 'L at <br /> Uses to the North. <br /> Uses to the East <br /> Uses to the South: <br /> Uses to the West: <br /> a <br /> PRt]f�OSED PARCEt_S <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> r - <br /> O <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 Welta New Well ❑ Well Replacement ❑ <br /> Sewage.;Dispo�al. . ." <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> E Existing❑ <br /> Proposed❑ <br /> Onsite <br /> Sewage Disposal❑ Existing Septic System New Se tic system, ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Draina to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane id Other ❑ <br />` Electricity - Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> ONei^ <br /> FADEVSVSu'lanning Application FormsiMiirw Subdivision(Rev_05-11-09) Page 4 of 9 <br /> errs--- <br />