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V APPLICATION-MINOR SUBDIVISION <br /> SANJOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acroa e <br /> Z ro <br /> CS/ <br /> v e. <br /> M► � i" <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing o Required (Feet) <br /> Proposed o <br /> PrivateWate Existing Well New Well Well Re lacement o <br /> pie Dls o:al <br /> Public Sewage Service Provider Annex-Formatlon Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposedo <br /> On-slew Sewve Existing Septic System New Septic System Other o <br /> Dispose <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detentlon-Retentlon Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) o Natural Dmfnag&Wo Change o Other o <br /> Dralna e o <br /> Electricity Natural Gas <br /> Service Provider T- Distance to Service Provider Distance to Service <br /> _ Service <br /> P, G. E - Oh- i <br /> x+81,1 °# „� table Television Service <br /> Service Provider Distance to Servlce Provider Distance to Service <br /> Service <br /> Sehool Servlce _ Fire Protection Servlce <br /> Service Provider Distance to E/em Service Provider Distance to Fire Station <br /> School <br /> ' Exlstln `Roads <br /> RoadiStreet Name R.O.W.Width Pavement Width Curb,Gutter Sidewalks <br /> 4 <br /> 2Z 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 CurbvGutter Sidewalks <br /> Yes o No o Yes o No a <br /> Yes o No o Yes o No o <br /> niw�ew.er rou ra. r-w-ar I'M <br /> -3- <br />