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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> sig <br /> Parcel Number Edetng or Proposed We of Pawl , <br /> Square Footapa <br /> or Acreepe <br /> �- o'oi PUT her, lift;rL4,M v1Sj-jNcj e ►c�E 9 A� <br /> ON C. t'&OtC- t1 - q-7 c� <br /> r '� .� L. � fAp'ifiR ,till s6Elasaa.�.>.: rw <br /> Service Provides <br /> •.,4n. <br /> Public Weser <br /> Existing❑ mAnnex-FoWbn Distance to Public <br /> Proposed❑ Required Water (Feet) <br /> N Xk <br /> Private Water❑ Existing Well p Now Well p Well Replacement ❑ <br /> eas '�is"�'2 <br /> Public Sewage <br /> Disposal Annex-Formation Distance to Public <br /> Existing❑ Required Sewer Facility <br /> Proposed❑ <br /> 1� d LL011a 1 <br /> Onsite sewage <br /> Disposal❑ Existing S*Pbc System Q Nov Septic Sym Q- Otter 0 <br /> cre:'_;. ja nye ..._ <br /> ti3` .i 3'.e> ., v i e: "rM%... <br /> Public Storm Service Provider Annaxformaton Terminal Drainage W Detenton- <br /> Existinp RagWred to: Retention Ponds <br /> Propoaadp ,(,^ .l p r'rrp,i <br /> Ptvate Storm I On-aft l'RseerrdVbn Pond(s) O Natural <br /> Drainage O Odnape/No Change D Other ❑ <br /> >• : � hMtipt#I fxea <br /> Service Provider Dwit nce to Service Service Provider Distance to <br /> 4 , Service <br /> I ') <br /> i <br /> s <br /> r` �` 'sb Yr;i.>z< TdephpfNFgMNI�,��_ .�»�,��> 3a�, xal,:F. zr`m?�%'�.'g`�'AIiM►Ti�VWOdr801141N 'x <br /> Service Provides Distance to Service 8ervios ProvMes Distance to <br /> service <br /> Service Provides Durance b Elem .Service Provides ... Distance to Fire....: <br /> School Station <br /> 1 <br /> RO°olf9trM Nam R.O.W.Width PaverPerR Wldtlt Curb/Guter Sidewalks <br /> Yes❑ No O' Y+s❑ NoC <br /> �� YM❑ No❑ Yea❑ No[� <br /> M Noma R.O.W. Width Pavement Width Curb/Guter Sidewelka <br /> Yes❑ No❑ Yea O No❑ <br /> Yee❑ No❑ Vee❑ No❑ <br /> -3- <br />