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}L,� �•:H. APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Existing Land Uses r <br /> On-Site Uses Include Aq Crops): / Q <br /> the -S <br /> Uses to e North: <br /> Uses to the East: <br /> i <br /> Uses to the South: i S <br /> Uses to the West: �' S <br /> PROPOSED PARCELS f <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <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 Well New Weil Well Re lacement <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facilit <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Disposal Existing Septic System New Septic System Other <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Draina a to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm Drainage❑ On-site Retention Ponds Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> YL Zk. i <br /> F:0EVSVSI31annin9 Application FormsWinor Subdivision(Rev.12.09-04) Page A of 9 <br /> i I <br />