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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use or Parcel Square Footage <br /> or Acrea e <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water.. <br /> Public Water Service Provider Annex-Formation Distance to Public Water(Feet) <br /> Existing o — Required <br /> Proposed o <br /> i <br /> Private Watero Existing Well o New Well o Well Replacement c <br /> _ Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed o <br /> On-s/te Sewage Existing Septic System o New Septic System Other o <br /> Disposal o <br /> Storm Drainage <br /> Public Sloan Service Prov/der Annex-Fonneaon Term/nal Dr./nape pateenlon-Relennon Pond. <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> Private Storm On-site Retention Pond($) o Natural OralnagrJNo Change Omer o <br /> Drainage o <br /> Electricity Natural Gas <br /> SSService Provider D <br /> istance Service Service Provider Distance to Service <br /> U <br /> Telephone Semite - Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Di <br /> r C c <br /> School Service - Fire Protection Service ' <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> lvea d" <br /> Exlstln Roads. <br /> PwdSteei Rare R.O.W.Width Pavement width Curbluutter Sidewalks <br /> /. <br /> Yes do Yes <br /> Yes o No o Yes o No o <br /> Proposed Roads <br /> RoadlSfreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yes o No o Yes o No a <br /> -3- <br />