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APPLICATION -MINOR SUBDIVISION <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />PROPOSED PARCELS <br />Parcel Number Existing or Proposed Use of Parcel Square Footage <br />or Acreage <br />1 Rural Residential 4AC <br />2 Rural Residential 2AC <br />3 Dairy 70AC <br />4 Bare Land 45AC <br />SITE IMPROVEMENTS <br />Water ,. <br />Public Water <br />Existing ❑ <br />❑ <br />Service Provider <br />Annex -formation <br />Required <br />Distance to Public <br />Water (Feet) <br />`Proposed <br />(Private Water ❑Fxisting <br />Well IA New Well ❑ Well Replacement ❑ <br />Sewage Disposal .. <br />Public Sewage <br />Disposal <br />11Exlsting <br />Proposed ❑ <br />Service Provider <br />Annex -Formation <br />Required <br />Distance to Public <br />water (Feet) <br />On -Site Sewage <br />Disposal ❑ <br />Existing Septic System New Septic System ❑ Other ❑ <br />Storm Drainage - <br />EPubli <br />Service Provider <br />Annex -Formation <br />Required <br />Terminal DrainageD <br />to: <br />Retention Ponds <br />Private Storm <br />Drainage ❑_ __ <br />On-site Retention Pond's ❑ Natural Drainage/No Change ❑� Other ❑ <br />Electricity <br />"-' ;'`('Natural Gas <br />Service Provider <br />Distance to Service <br />Service Provider <br />Distance to Service <br />P.G.&E. <br />on-site <br />Telephone Cable Television Service <br />Service Provider <br />Distance to Service <br />Service Provider <br />Distance to Service <br />S.B.C. <br />on-site <br />Media One <br />on-site <br />School Service - Fire Protection Service <br />Service Provider Distance to Elem School <br />Service Provider <br />Distance to Fire Station <br />Lodi Unified 5 Miles <br />i , -r � •. .it'i ' • ." Ex sting Roads�l�;`ry�i'u.; <br />RoadlStreet Name R.O.W. Width <br />Pavement Width <br />Curb/Gutter Sidewalks <br />Jack Tone 50' <br />24' <br />Yes No ' Yes U __Na_0 <br />Sar ent 40' <br />24 <br />Yes Li No Yes No <br />._.Proposed Roads <br />Road/Street Name R.O.W. Width Pavement Width CurblGutter Sidewalks <br />N/A Yes INo Yes Li INo Li <br />Yes INo ❑ lYes ❑ INo ❑ <br />1:41 PMPA LA98 February 1, 1999 -3- <br />