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f APPLICATION- MINOR SUBDIVISION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT .. PROPOSED PARCELS Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage : .. ...:.. :...:,'.. .SITE fMPR0VEMENTS,aND:.S.ERVICES ....._' :, . ........!.. .. -.Water...< >. . .:. .:: Public Water Service Provider Annex-Formation Distance to Public Water Existing❑ Required Fee! Proposed❑ Private Water Existing Well New Well ❑ Well Replacement ❑ sewage : sat Public Sewage Service Provider Annex-Formation Distance to Public Sewer Disposal Required Facili Existing❑ Proposed❑ Onsite Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ Disposal 5tertti i3taitY....a .... ..... .:::r . .., Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Detention Ponds Drainage R uired to: Existing❑ Proposed❑ Private Storm Onsite Retention Pond(s).❑ Natural DrainagelNo Change Q Other a *)VIV Drainage❑ A10. DeMid Eiactnc :. Naittiraf Gas. mm Service Provider Distance to Service Service Provider Distance to Service �i Tete'hone setvice :.. �Cabfe'fcicvision Service: Service Provider Distance to Service Service Provider Distance to Service C. C6NT16L- ..... 00 -: ...::<....:Scfooi 5eivtce....: ..... Pira Iyrofectlon Service ..`:' ... . Service Provider Distance to Elem Service Provider Distance to Fire Station School D D LIN► I Cirri 4 F <sr n1 � Al' ' a: ... Exisfin "i7oads Road/Street Name R.Q.W.Width Pavement Width CurblGutter Sidewalks < f 4- Yes❑ N-121, Yes❑ No,2' + Yes❑ No Yes❑ NOX 9 Proposed:Roads �w •- - -� 'Road:'Street-Name-�^�'^��'— ^R:O:W.Midth-7'— Pavement Width^r —CurblGutter�+--°- ^— Sidewalks=—Al 'c h j N r Yes❑ No❑ Yes❑ No❑ I u G Yes❑ No❑ Yes❑ No❑ i _. ..