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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSEMPARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acrea e <br /> crV <br /> ZeL4r=QC21 . 3 <br /> 7 r o t - -+9 <br /> Non�c--S iT 2-oa <br /> SrrE IMRRCVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required (Feet) <br /> Proposed❑ <br /> Private Water Cd Existing Well New Well ❑ Well Replacement ❑ <br /> S4ewage Dis osat <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing O <br /> Proposed❑ <br /> On-site Sewage I Existing Septic System IV New Septic System VIL Other C <br /> Disposal <br /> Storm Drainage <br /> I <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detendon•Retention Ponds <br /> Drainage Required to: <br /> Existing C <br /> Proposed C <br /> Private Storm I Cn-site Retention Pond(s) C Natural DrainageiNo Change ')C Other C <br /> Zratnaae <br /> E!ecincav ( Natural Gas <br /> Service Provider Distance to Service I Service Provider I Distance to Service <br /> C F ZOO t i= PC-2 oc�t �- <br /> i <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service r Service Provider I Cistance to Service <br /> PACLFf G 6 Z�vr '-- i✓ A A <br /> School Service Fire Protection Service <br /> Service Provider I Distance to Elem I Service Provider Cistance to Fire Station <br /> SChoal <br /> v ID l 0 s^1i �— Wt t P,6C Fc ppT 5 M t t, <br /> i <br /> Existina Roads <br /> :�oactStreet^lame R.O.W.'Ndth ?wementWidth I Curb/Gutter I Sidewalks <br /> Yes C No$ Yes C No K <br /> yo, I t <br /> �/• <br /> IV,I��� ��. Yes C No QS. Yes C No aC � <br /> /y Proposed Roads <br /> Roacistreet Name I R.O.W.Width I Pavement Width I CurbiGutter Sidewalks <br /> Yes C No C I Yes❑ No❑ I <br /> i <br /> Yes v Noc_- Yes❑ No C <br />