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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 /> �J or Acreage <br /> Z <br /> 3 v 1� <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water(Feet) <br /> Existing o Required <br /> Proposed o <br /> Private Wate Existing Well o 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 Sewa a Existing Septic System o New Septic System oOther)( <br /> Disposa <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> FPrivate Storm On-site Retention Pond(s)y Natural Drainage/No Change o Other o <br /> Drainage o <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> S� �� <br /> Telephone Service Cable Television Service • <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> //. tl,)17- /e I <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School / <br /> c/ ,r, /e-s- G,' <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o Nox Yes o No,X <br /> /r Yes o No o Yes o No o <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yes o No o Yes o No o <br /> 3- <br />