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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED ' f 2ji;C;:j:&a:'tv,•h�'-.'ii`isxi::v) <br /> Square Footage <br /> Parcel Number Existing ur Pi j� ud u,e of Parcel or Acreage <br /> t A <br /> c RCv-> -T. - 1 a.1 PC <br /> W TTr( S 1. oQ• L D\�1 <br /> –2,t) <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Service Provider Annox-Foirnation Distance to Public <br /> Public Water Required Water(Feet) <br /> Existing❑ <br /> Proposed❑ <br /> v New Well ❑ Well Replacement U <br /> Private Water� Existing Well <br /> &awago pisposal <br /> Service Provider Annex-Formation Distance to Public <br /> PubUc Sewage Required Sewer Facility <br /> Disposal _ "— <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sawa a Existing Septic System New Septic System ❑ Gthar ❑ <br /> Disposal - <br /> "'; < Storm Drainage <br /> Y Public orm Service Provider Y Annex-Fo <br /> Strmation erminal Drainage Detention <br /> Requiredonds <br /> to: Retention P <br /> Drainage <br /> Existing❑ <br /> Proposed❑ — <br /> Private Storm On-site Retention Pond(s) ❑ <br /> Natural Drainage/No Change 4h' Other ❑ <br /> Drainage� —�� <br /> _..._ <br /> Natural Gas <br /> ElectxrcttY ._ <br /> 2iurvicci Provider Distance to <br /> Service Provider Distance to Service Service <br /> pro S�ntloe <br /> Ca-tle leievision Service <br /> Service Provider Distance to <br /> Service Provider Distance to Service Service <br /> Pnc_-�F�c_ UtiLI_, oto s��►- <br /> - <br /> fire; Proletion Setvloe <br /> S.au>oi `,eryl�e <br /> _ 1–. Distance to Fire <br /> El <br /> Distance to em Service P;ovidor <br /> Service Provider Station <br /> School <br /> Z <br /> Existing Roads <br /> ' <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> \ L t Yes❑ No f'� Yes❑ No <br /> P-10 <br /> Yes❑ No❑ Yes❑ No❑ <br /> Arop000d Hoade <br /> Sidewalks <br /> Road/Street Name R.O.W. Width Pavurnent Width Curb/Gutter <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes ❑ No❑ <br /> -3- <br />