|
APPLICATION- MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> s:r
<br /> +'I.:�:!!;}' N%+r..v %i%n..:':S iiy:JY•yi:i�>'r._::.:::i.::
<br /> .:::............
<br /> :i.
<br /> <v
<br /> r.
<br /> �y� .''.•r'.i r v
<br /> >.;;::,.?:ay:!.�
<br /> Parcel Number Existing or Proposed Use of Parcel
<br /> Square Footage
<br /> /O2 20
<br /> / 1 or Acreage
<br /> of
<br /> .........::.....:. .. . ....
<br /> Public Wafer Service provider
<br /> Existing m Annex Formation Distance to Public
<br /> G Required
<br /> Proposed❑ Water(Feet)
<br /> Private Water❑ Existing Well ❑ New Well ❑
<br /> Well Replacement ❑
<br /> .....:...........
<br /> .:...:...:.:::.}....fi:::vi:n}??:4-.v:::::::::::n.v::r{.y+};{<{:v.v:r.:•:,...; .... .. >4ntt :;{<„ x<{j+ + :
<br /> :?:<+!:?:;iY,.+.;::r.v?:••i i.' ..ry.. 1.r.. r.{ .};:}.%.y. .,.�...:/7...+rC. .>I::,'u' {•:'•}Y?'r'+..}:,
<br /> vim::•?'•>?:3:!v: y?�{}i+.i.r .. ..n Y •Y."riy:{•}'•- .. ........n .,y,,... .$ ,' .< + i>' ..
<br /> y'. .Y.•xn'f:{:v{::$y}:i:i$:•'r'Y`Y.�i$$$i:•:�$::.??}:$ji•F}ii}?y?::
<br /> ..ir na<6}YX,�•f3'$.{:. ;r:`r.•{. :h'{ .:4•r {{•±} „n.cw s.,..{i:r,•:rr.•::::r.:.a
<br /> ...rr»:.?:.>:!�:.?}:->?:•??" ,..<.. :� � ,•.,,...;,..•C$'•i..:{:•R: {,.:
<br /> ................!.:.::::::•:::.,H,.,:.v.:::.?;i:;(Y,.;i::.;;;n::.Y:•}?:L?>::. � .v4.;+.{,3.;;},Y..•:.,,.a.rC-.w•. ..v.:-.{,v:w:::.v.:.:}:-.b:w: v„}w;,}'r:$jy:{:!{?;:yet$$:^!is r..x;.v,.•..Ay:::v,..,.-.r.;Y :O�k;,.}.. :::,l,.;r.{•:.v.{•::v:.........:.v.v:::::.::::::...
<br /> �� / Annex-Formation {{`Distance to Public
<br /> Public Sewage JJ,, Service Provider
<br /> Disposal �i�C/�
<br /> Existing @'- Required Sewer Facility
<br /> Proposed❑ —��/"�Ti'Q�J� /ST/P/
<br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑
<br /> Disposal❑
<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required
<br /> Existing Ur' to Retention Ponds
<br /> Proposed❑
<br /> Private Storm Onsite Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑
<br /> Drainage❑
<br /> . .......................
<br /> Service Provider Distance to Service Service Provider
<br /> Distance to
<br /> Service
<br /> i
<br /> ...............................................................................
<br /> .:.....................::Yy?:<d:3;:;;:_ ....
<br /> ....
<br /> . , ..+\... ...... ..... ;';::�::�:�:�;:_;;$$:�;:;:•y:�y:c•y:iy:;�>:
<br /> ..\.,,.....
<br /> M.
<br /> • {'��- :.:.:{:.y>:• Tipl!e�Slop Seftrie4
<br /> Service Provider Distance to Service Service Provider
<br /> Distance to
<br /> 1 , o Service
<br /> .o.;. -:;::.::r.:.:;�;:�::y;:::�..:;:•:. .; �.,........,w?>:.;wva.Yr\..a<w:-a:�o?rosaa.,
<br /> ...........................
<br /> :. ...._ .:.y. .:?R•::..:...:..::.:..... .?..: X.. :1 i; ::;iii t:[a'i t::';
<br /> i
<br /> ... .........
<br /> Service Provider Distance to Elam Service Provider
<br /> �� Distance to Fire
<br /> _ Station'=2
<br /> .,...,.... \:\.v::\:n:,ay.,::•?x:,\\o.:v.,•..v,'.\.,. ..\....x,�<2r!{•:< - .r.n,......;..n:::::: :`i:;:.�:i':{.'::;:i:
<br /> ..... .. :.::::::., ::{.:?'r ,::-\`:\.:n;•.,:v„vv:;\.�'.y}y:!•y?}.,:........ vJCiCYi:•Y:+,{{L?�{�NC;/t•.iH$;Y::h:'r.${$R::�R:.;,y.;�.?iy:+}:•?i
<br /> ......,x.::.:::::::.v::v:{•?:•?;•:•:ii::!•Y-yi;;::.::?:y:.yY.:'n;!:.;;.::.::._);i:;:L;:::y:!;{i!y::Y:::;:i::i:'v:�:i::;:::::.:�:�:::.:.
<br /> ROed/StreOt Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> ll rlYl�C l7 CD ) U l Yea t No❑ Yes 2( No❑
<br /> ICIYL � Cho l
<br /> -::::::;::........::::::::y::::::.::::................
<br /> Yes o❑ Yea CV No❑
<br /> 77=7...::<;.::;.:...:.:...
<br /> ,.+::? ,•.,,•.:::::::._.,•:y.:..:::;:y::::{�s:�?>•{�r:::•:.�::::::a>y:?:�yy::.::a:::o:{2::i::
<br /> .{.,......,.};:::•?:-x,•"'�:,\:.x{-};.:<y2:,•a::{.: �y{/� +r:x•73,..,;5}•2,
<br /> Road/Street Name F.O.W.Width Pavement Width Curb/Gutler Sidewalks
<br /> 9 6 IAJ61FTC/U T Yes;L�l No❑ Yes No❑
<br /> ,stag�F( -/R& 6�� Q
<br /> 2 Yea)2r No❑ Yes)4 No❑
<br /> -3-
<br />
|