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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: MS- <br /> Existin .Land Uses <br /> On-Site Uses Include A0 Crops) Seasonal Row Crops <br /> Uses to the North: Agriculture <br /> Uses to the East: Agriculture <br /> Uses to the South Agriculture <br /> Uses to the West: Agriculture <br /> -• � ELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> 1 & 3 Seasonal Row Crops 37 Acres (ea) <br /> 2 &4 Seasonal Row Crops 40 Acres ea <br /> 5 & 6 Homesite Parcels 3 Acres ea <br /> S TE IMPROVEMENTS'AND SERVICES <br /> er <br /> Annex Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Water Existing Well ® New Well ❑ Well Replacement ❑ <br /> Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Regu!red Water(Feet) <br /> Existing ❑ <br /> Proposed <br /> r �� ;e Ji aos ❑ <br /> Existinq Septic System ❑ New Septic System ® Other El <br /> -rte,`? Stor n Draina g e <br /> Annex Formation Terminal Detention <br /> Public Storm Drainage Service Provider Required Drainage to: Detention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Drainage❑ On-Site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> r t: s+� Natural Gas <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.&E. Adjacent N/A <br /> F:\DEVSVC\Planning Application Forms\) Page 4 of 9 <br /> Lot Line Adjustment.doc (Revised 6-04-04 <br />