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a <br /> APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PRQPOEO PCELS.. . <br /> :.: ... <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> taz3-o90-08' �qn In �a Gt_- � rh <br /> e giDmte .eC Alm <br /> f . ...,: SITE�MPR�Y�M��VT$�4Nl�SEAIIiCi~S <br /> i <br /> Service Provider Annex-Formation D�Watar <br /> blic ; <br /> Public Water❑ Required ) <br /> Private Water Existing Well11 <br /> New Well ❑ Well Replacement ❑ <br /> ..:;:I Sewag+�t3lspoeat <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Required Sewer Facility <br /> Disposal© <br /> I <br /> On-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> Disposal <br /> v <br /> Storm,Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention <br /> Drainage❑ <br /> Required to: Retention Ponds <br /> private 51orm <br /> On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ i <br /> Drainage� <br /> i'latµrat Gas , <br /> Distance to Service Service Provider Distance to <br /> Service Provider Service <br /> /DD <br /> yelephonaService . .:. :Cable feievis#on.Servlc: <br /> i <br /> Service Provider Distance to <br /> Service Provider Distance to Service Service <br /> ) <br /> -/o O <br /> i <br /> on �� <br /> s4nQ ►k. .::. . <br /> Distance to Elem Service Provider Distance to Fire <br /> Service Provider <br /> School Station <br /> ngoad>?.... XX <br /> Road/Street Name A.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> p Yes(3 No <br /> Yes❑ Nq�' <br /> O Y\ o <br /> v�Q Yes❑ No 077:77777 7� <br /> Yes[7 No❑ <br /> Propbsect Road <br />. .r.: . i ewalks <br /> Road/Street Name R.O.W.Width Pavement Width CurblGutter <br /> Yes❑ No❑ Yes 0 No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> i <br /> r <br />