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"PLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> ��%F OiRa <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Ann tion Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Water❑ Existing Well ❑ New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Re uired Sewer Facilit <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Disposal ❑ Existin Se tic 5ystem ❑ New Septic System Other ❑ <br /> Storm Drainage <br /> Annex-FormationTerminal Detention- <br /> Public Storm Drainage Service Provider Required Drains 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 /> F'1DEVSVSWIanning Application For slMinor Subdivision(Rev.12-09-04) Page 4 of 9 <br />