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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 /> l o ESi rO 12 4_,,'z4 if S <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing o Required (Feet) <br /> 1 ::9 <br /> Proposedo <br /> Private Water Existing Well o New Well 91 Well Replacement o <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed o <br /> On-site Sewage Existing Septic System o New Septic Systeme Other o <br /> Disposal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed <br /> Private Storm On-site Retention Pond(s) o Natural Drainage/No Change Other o <br /> Draina e o <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> o ) O <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> ' Z <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> S t4 <br /> Existing Roads <br /> ad/StreetNamtr— R.O.W WtWh— Pavement Moth Curb/Gutter Sidewalks <br /> r <br /> -v (�' Yes o No k Yes o No <br /> Yes o No o Yes o No o <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yes o No o Yes o No a <br /> MINOPSVBAPP POPM 0.EV. 0-10-01 (SXDI <br />