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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Farce/Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> 1 Homesite Parcel / Existing Residence 2. 00 Ac. Net <br /> ITE IMPROVE ENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> kequired ('Feet) <br /> Proposed o- <br /> Private Water* 1ing Well• New Well o Well Re lacement o <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distaece to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed o <br /> L <br /> -site Sewage Existing Septic System ► New Septic System o Other o <br /> Dls osals <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) o Natural Drainage/No Change • Other o <br /> Drainage• <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> P G & E At site P G & E. At site <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> Pacific 4t�jj AL QiLp. N/A A <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Jefferson 2 Miles County Rural 3 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> S. Lammers Road 50 1 8 t Yes Nos Yes No <br /> Yes 0 No o Yes o No o <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Norte Yes o No o Yes o No o <br /> Yes o No o Yes o No o <br /> MiHORSLMPP t'URM REV. 0-10-41 fII1IV <br />