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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 Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage'Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System New Septic System ❑ Other ❑ <br /> Disposal'biil <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Pj6 E NIA <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> 57i7 4e 11114 <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> / zz '0�;,/s <br /> Exisfing Roads' <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> /f L z Yes❑ No Ql Yes O No X <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Aoesia <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes 0 No 0 Yes 0 No 0 <br />