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APPLICATION - MINOR SUBDIVISION <br /> C-Q- t-_ <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> HOMESTEAD <br /> Uses to the North: <br /> HOMESTEAD <br /> Uses to the East <br /> Agriculture <br /> Uses to the South: <br /> HOMESTEAD <br /> Uses to the West: <br /> HOMESTEAD <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> Agriculture 5+ AC. <br /> 2 HOMESTEAD 5+ AC. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation D1stanceto Public <br /> Public Water Service Provider Required Water(Feet) <br /> Existing <br /> Proposed ❑ <br /> Private Water Existing Well New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distanceto u Ic <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing F-1 <br /> Proposed <br /> On-site Sewage Disposal Existing Septic System New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> nnex- ormatlonermina etention- <br /> Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Drainage On-site Retention Pond(s) Natural Drainage/No Change E Other ❑ <br /> Electricity Natural Gas <br /> (stance to Distance to <br /> Service Provider Service Service Provider Service <br /> P.G.&E. on-site P.G.&E. on-site <br /> F:\\DEVSVS\\Planning Application Forms\\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />