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r ' <br /> i' <br /> APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 'PROPOSED PARCELS::'>;:::.-:'-:: 00 <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> 77.5 �- <br /> 77 SITE IMPROVEMENTS`AND SERVICES: <br /> Water, <br /> Public Water Service Provider Annex-Formation Disx.ance to Public Water <br /> E Existing❑ Required (Feet) <br /> { ProposedCj <br /> r <br /> {: <br /> Private Water Existing Well ❑ New Well Well Replacement ❑ <br /> Sewage Dis osal <br /> 1 <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> - Disposal Required Facili <br /> I Existing❑ <br /> Proposed❑ <br /> i On-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> { Dis osa <br /> Stortn Draina e.'. <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed Ej <br /> i' <br /> i Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other IJ <br /> Drainage Gl <br /> Electricity Natural Gas <br /> Service Provider^ Distance to Service Service Provider Distance to Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> # Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> I, School <br /> Existing Roads <br /> i <br /> Ii RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No;X Yes❑ NoX <br /> Yes❑ No❑ Yes❑ No 0 <br /> Proposed'Roads <br /> Road/5treet Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> Yes 0 No❑ Yes❑ No❑ <br /> Yes❑ Non Yes l_7 No❑ <br /> k <br />