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pD <br /> APPLICATION - MINOR SUBDIVISION <br /> 2r' : SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> 9ll <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> S f <br /> School Service Fire Protection Service <br /> Distance to Elem. <br /> Service Provider School Service Provider Distance to Fire Station <br /> LT <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavvem�ent Width Curb/Gutter Sidewalks <br /> I I �J1 Yes❑ No Er Yes❑ No 2 <br /> �(l a.VA—,Y- A C CX, 55 1QI 2 5 Yes❑ NO CR" Yes❑ No m <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> t ti VW.e A S g f ZZ) Yes❑ No Er Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> ENVIRONMENTAL INFORMATION <br /> Water, Drainage and Flooding <br /> Describe any areas subject to flooding include flood depths and flood panel map number): <br /> A — O BZ o 13S <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the proqect site e. . rivers,creeks,swales or drainage ditches): <br /> TOld SD kj 1 H KAST ®l^ <br /> Land,Land Use and Blots <br /> Describe the site's topography(e. . land forms, slopes, etc.): <br /> CAW-3D <br /> Describe agricultural land that will be lost as a result of the project a of crops, acres,quality of soil,etc.): <br /> L-- N <br /> FADEVSVSTIanning Application Forms\Minot Subdvislon(Rev.12-09-04) Page 5of9 <br />