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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acrea e <br /> 5. 0 <br /> 2 ✓ ✓ <br /> 4 v <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Wafer Service Provider Annex-Formation Distance to Public Water(Feet) <br /> Existing o Required <br /> Proposed o <br /> Private Wafer Existing Wel New Well Well Replacement o <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed o <br /> On-site Sema a Existing Septic System o New Septic System oOfherY <br /> Dis osa / <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detentlon-Retenflon Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed c f <br /> Private Storm On-site Retention Pond(s) o Natural DralnageMo Chang el6 Other o <br /> Drainage o <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Se- -sz e- <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> 40dl iynlj& 2 vhr"les , �Pr Z <br /> Exlsfin Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> ��. I Yes o No,K Yes o Not✓ <br /> Yes o No o Yes o No o <br /> -Lf:L <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurbIGutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yes o No o Yes o No o <br /> -3- <br />