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'TPPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing orProposed Use of Parcel Square Footage <br /> or Acrea e <br /> pr 1 2 es <br /> 2 �e 2 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formatlon Distance to Public Water <br /> Existing o <br /> Proposed Required (Feat) <br /> Private Wate <br /> Existing Well o New Well Well Relacement o <br /> sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed <br /> On-site Sewage Existing Septic System o New Septic System Other o <br /> Dls osa <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed <br /> Private Storm On-site Retention Pond(s) o Natural Dralnaga/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 i G . ? E on -.� <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> Vac - 3e1 N - <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> GaIE 1 Z ml <br /> Exlst/n Roads <br /> I Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> ~ 2 Yes o NOVYes o No <br /> Yes o No o Yes o No o <br /> Pro sodRoads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gufter Sidewalks <br /> Yes o No o Yes o No 0 <br /> Yes o No o Yes o No o <br /> NI NONIVIAff fO11N I[V. 1-ID-DI �IXDI • <br /> -3- <br /> • lir <br />