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4ui"\ APPLICATION - MINOR SUBDIVISION <br /> y X SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> J FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops)- sn e zv <br /> Uses to the North: S <br /> Uses to the East: 467 <br /> Uses to the South: <br /> Uses to the West: <br /> PROPOSED PARCELS <br /> Existing or Proposed Use of Parcel Square Footage or Acreage <br /> Parcel Number �` <br /> - G <br /> 49– <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider <br /> Re uired Water Feet <br /> Existing❑ <br /> Proposed ❑ <br /> Private Water ExistingWell <br /> New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Service Provider <br /> Re uired Sewer Facilit <br /> Public Sewage Disposal <br /> Existing❑ <br /> Proposed❑ <br /> Se tic S stem <br /> New Septic S stem Other <br /> Existin ❑ <br /> On-site Sewa a Disposal <br /> Storm Drainage Terminal Detention <br /> Annex-Formation <br /> Public Storm Drainage <br /> Service Provider Re uired Draina e to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ Other 71Private Storm Drainage❑ On-site Retention Ponds ❑ <br /> Natural Draina e/No Chan e <br /> Natural Gas <br /> Electricity Distance to <br /> Distance to Service Provider Service <br /> Service Provider Service N 4— <br /> Z_— On i <br /> Pa e4of9 <br /> F'ADEVSVS\Planning Application Forms\Minor Subdivision(Rev.05-",1-09) g <br />