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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 Acrea e <br /> !D- <br /> Z /r 4 <br /> 3 <br /> 4 <br /> SITE IMPROVEMENTS AND SERVICES <br /> ..Water - <br /> Public Water Service Provider Annex-Formation Distance to Public Water(Feeq <br /> Existing 0 ..Required <br /> Proposed o <br /> Private Wate Existing Well o New Well 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 - - - - <br /> On-site Sews a Existing Septic System o New Septic System the <br /> Dls osal \ <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage. Detention-Refent/on Ponds <br /> Drainage Required to. <br /> Existing <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) o Natural Dramage No Change Other o <br /> n <br /> Draie o I - - <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> P G, c. 1 e <br /> Tele hone Service Cable Television Service <br /> Service Provider Distance to Servl a Service Provider Distance to Service <br /> aC- .fie/l <br /> School Service Fire Protection Service <br /> Service Provider . Distance to Elem Service Provider Distance to Fire Station <br /> ! , School <br /> o In l/ 6 sir L :d�r �mlle s <br /> Existing Roads <br /> Road(Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes. No Yes No <br /> Yes o No o Yes o No o <br /> Proposed Roads <br /> RoadIStreet Name R.O.W Width Pavement Width CurblGutter Sidewalks <br /> Yes o No o Yes o No 0 <br /> Yes o No o Yes o No o <br />