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4UrN APPLICATION - MINOR SUBDIVISION <br /> Z SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> C <br /> 9�rFORN <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> Uses to the North: <br /> T <br /> Uses to the East: <br /> ` 1i <br /> Uses to the South: <br /> Uses to the West: <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> I SZ 3 XC_ <br /> Z 6z �s; r�� a ; a 2! - Ale, <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Existing❑ <br /> Proposed ❑ <br /> Private Waterer Existing Well ❑ New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Dis osal Existing Septic System ❑ New Septic System 9L Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider - Required Drains a to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Drainage® On-site Retention Ponds Natural Drains eMo Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> G tot I F (pI <br /> F\DEVSVS\Planning Application Forms\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />