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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> v::::.r.}..::.tiF:r'•}'•i::'• �. .... � {r{...:v:.:,:{:>'.r}i':ih:4:i:i�;v:�::....<+f.4:• ',...::: h -:::. ..i:::-:. '.:}.:/..,v,:;:: <br /> F.,.;..,..:....,;...:::�� <br /> .i... F W Y,O n.. +i{ii: �• ` ,t .` }i <br /> i..:::....... :-:::,: ::.:..... gip. : #� <br /> x <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> Sac e 67hche74fe 5 acres <br /> 2 a <br /> SITE IMPROVEMENTS AND SERVICESW. <br /> A <br /> I Water` v � 4 <br /> A <br /> 4 <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 /> SeVvag6 Otvposaf <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 /> :> .. Storm Drainage;;;pp,,,,//��••#>�fi? n.}.�.� . <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 0-, <br /> Drainage❑ <br /> ` :.;< <br /> . ..... ... : ..... :r»> <br /> ............_...........:.............___.-._.... ..... .... .....................:..................... ...t.......fi i:,% :Y '" <br /> ... .......... <br /> ,: ;;.�IeattkFhr ;:< ,'.}<::.::.:;. �'N»lp►tiiF° Ms... <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> con 5 4e <br /> Telephone Service:4'able;:T4deltill!Olh$�tt1I0 ??' ' y ' <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> 7'e N � <br /> school Selmee frlt0" t01<041�bt1<$eEY1E7t f ' �%k � £: <br /> < <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> L o ,• e S m ' ���ber ire 2 m� <br /> :.ii}:J%:?iii::^l:ii::::::::::;:•i>:•i::::.�:::...:<.i ...,.::::.:r.•:<:4:u:;.;:.::.�:::. ., � .. . <br /> ::::::......::.........::.:':....�i::........ v.:::. <br /> v:.�iA�i{r <br /> -ii:}i:v4:v:i:•}:!:c::�:'}iii:�i:�iii: isi:<•:i::�.:r:�::�::v}i};:!�rr::::�i>:�:>i:?ri:......::::.i:�i:::•>>i::r:•ii}:x:. � v..... <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Lor J0 Z Yea❑ No Yes❑ No <br /> S Q 6�10 Yes❑ No'q Yes❑ No <br /> :c:m:•:•r:• rr:4+•),:{: Y:ti:,•.;;?,i'•'%q:?.,.s> `9+r, ..: <br /> :r.y fab{�3+5r:{a:.a:}:?•:.:::;,;..,.n:.:. ::s<:�i.......:::.. r» �:,::... .. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No 0 <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />