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APPLICATION - MINOR SUBDIVISION <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />FILE NO: MS - <br />F 1DEVSVS1Planning Application Forms\Minor Subdivision (Rev. 12-09-04) Page 4 of 9 <br />Existing Land Uses <br />On -Site Uses (Include Ag Crops): <br />� <br />Uses to the North: 6 <br />�.72//i•'Cy <br />4-6-UUses to the East: 14-6- <br />ses to the South: <br />Uses <br />�'n //lv�r-- [.��V0, <br />Uses to the West: <br />PROPOSED PARCELS <br />Parcel Number <br />Existing or Proposed Use of Parcel <br />Square Footage or Acreage <br />C <br />SITE IMPROVEMENTS AND SERVICES <br />Water <br />Public Water <br />Service Provider <br />Annex -Formation <br />Required <br />Distance to Public <br />Water (Feet) <br />Existing ❑ <br />Proposed ❑ <br />FPrivate Water <br />Existing <br />Well ❑ New Well Well Replacement ❑ <br />Sewage Disposal <br />Public Sewage Disposal <br />Existing ❑ <br />Proposed ❑ <br />Service Provider <br />Annex -Formation <br />Required <br />Distance to Public <br />Sewer Facility <br />On-site Sewage Disposal <br />Existing Septic System ❑ New Septic System J4 Other ❑ <br />Storm Drainage <br />Public Storm Drainage <br />Existing ❑ <br />Proposed ❑ <br />Service Provider <br />Annex -Formation <br />Required <br />Terminal <br />Drainage to: <br />Detention - <br />Retention Ponds <br />Private Storm Drainage <br />On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br />71 <br />Electricity <br />Natural Gas <br />Service Provider <br />Distance to <br />Service <br />Service Provider <br />Distance to <br />Service <br />F 1DEVSVS1Planning Application Forms\Minor Subdivision (Rev. 12-09-04) Page 4 of 9 <br />