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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .:........................................:..........:i:i<j:::{: i:??•}:.}:.:.}:.}}}Yii:'i:.....Y.\:r.:;•':::: ::.::::::.::�::::..................... <br /> : : ::::::.::::::::::::::.:::::::.::... ::. . {. :...................................... <br /> X. <br /> - <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> C `SITE IMPROVEMENTS AND SEM ICES <br /> WslerM. <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing ❑ Required Water (Feet) <br /> Proposed ❑ — <br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑ <br /> .;:,;,:;;;:r::•::::::::::::::•...:::::::::::::;::}5:}gaS:;:Y:Y %:;>5:;:;:aY::>i::<}ii::;:i:5}:?•>:;c}Y}55..;::?4.5}>}:.}:•}:ox•Y:;{.: <br /> •:•:•:Sc:::Y?:r:Y}:<�:;>5:;��>::�:::::;>:•:<::;:�::>::is�:':;:::::>>: ::s:'•:'•:#?!:?::?%< t`� f::;i:Y:::;:`:�:�:� #:;�: ::<`?:`�i5:::;:%;?:%:;> :;i::i::;;:}}Y:�::;;:::�::?:::;i;:%::;:;;:;�Y:}._;::>:: <br /> . ....... .:.:,.... ......... <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Existing Septic System New Septic System ❑ Other ❑ <br /> Disposal ❑ <br /> u:•::::•:: ............... ...:: ::...:::.... <br /> ...:.............................:::.................?Y}.'•}}•.}}iY'•+:i:.5?L•}Y.•5'{:,••:k• .:::::::::h.}}f•}::•;;;.. } ..............:::::i::�4:::.^.,v;:� ..::............r.... ... S ..ffi............... <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed ❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other }� <br /> Drainage❑ A Q17C r* <br /> �{}�� . '•>' C #i' '%i>iiiY'^? i" i%3r3i <#:: <�«#' fi`ia />�?�SiYit3p :';i: i <br /> .......:.::...............................:v:..r:?4:::::,:;}.::::::........................................:.v: ................ <br /> �::.{:•nom}:.v:?^::::.;:.:...:....... :.v::+..Y}YY:•'f..}ii:•}':•::::::::•:,:.:�:::�: <br /> ..................:.................. <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> E. /gyp 7 <br /> ............ <br /> :.::::::::::.:: ....:::rrl:C•:{v:{.,..y:^Y:.; .. ....}..���{..,. Vrk.:• ,. :v, w:f:�::r:..::Yv•.v::...::.$. +.v ,4 :rv.( .........:...::.v:n <br /> .:.M,,....n.........,�.::::::. Y.}Y.�:.:.:r, ..;.,,?k:{••??:.. \ .,, •:•;f.,.;.. .rYr+}iYS.$},•:;{;:i:{{ry ".:y;:^)ii'rii:i}:i: <br /> ..,.;..............: •}:•:{.v.;:?;5y;:.Y.w::::::. .,{... .: S r{.:}:ti:?•:::'r:>.>}i::.;?.iY:...::::::.�::.:: <br /> ::,.::.:.:::.::::.:.}}:.S:.Y;:{•.::,.,::.:............................:......:................:::::.:;::..........:::::.<;:.}:;:•�. vr...........,..:G�41�:}'1'....4>1�. .=i�lA::�f1��:qf�}:.:{.:;.5:.:{::::::5::.;;::.}:.}:.5:.:.:.:.:.}::.}:.}:. <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> T ......... �. f.,?fy{}•::•'7. :.Yv..} ..n...........x.w::v:.::J....::.............:........:Y:>:.v v; :...........r.....................:.:: ............... <br /> .............. .......... .. m... CJ.... � .,�...+Y...v�x'��>'.4.}..ri:.,Y. ,...........n,.: :........:.:5:.}Y:Y}:{.:?•:i YYi}}}:•}}}:.:•.::.+.v......i.,:::{.}.;+f'.:•{5:•}}}i:•:�::.::::::<.::::::�:::^i}ii:�::.:::.ii <br /> ...... ....................,.,.....'�.~......, .................:..:.:::::.::::.�:::.:,.:::.�:::::::`:<i�:t::.`•;::<;;:7:;N.�;:75; �I.�::R79i:#I�:�.y+'::;::;:;:s::�;+>;:�;:Y:a%�:i:::�::::::+�:�:�5: <br /> F. <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> -\ / I <br /> Ck ^ Yes 0 oqYes❑ No Ill< <br /> Yes❑ No❑ Yes❑ No❑ <br /> XX <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes ❑ No❑ <br /> Yes❑ No❑ Yes ❑ No❑ <br /> -3- <br />