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AF'F'LIUA I IUIV MINUH 5UBIJIVISIUN <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :...::::::::::>>:::>PRQQ¢5ED FARCEL3 :.. <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> S,TE IMPROVEMENTS AND SERVICES! <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed❑ <br /> Private Wate Existing Well ❑ New Well Well Replacement ❑ <br /> »;::>::; Dtr sal: ::.;:.:;:::::::.;>::;: <:.;:.::.:::<:>:::,:::»>>;:;:;; ::::::,;;::.:..:..:>:::::.:.:... <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewa a Existing Septic System C3 New Septic System Other ❑ <br /> Disposal <br /> fit n <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed ❑ <br /> Irivate 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 /> knou)/i s E <br /> Telephone Service. 40:SaCUldb, <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> ::.{.:. <br /> :::::: :......:::«<::<>:::>:: :>: #'t11►: t0#lraliOltE;50111 <:: `. :::>:'>:> :. .:; <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> G US. f2 r��'le �U� / it �z Ic-Ir 2e 7 / A 5 <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Z Z / Yes❑ No Yes❑ N <br /> Yes❑ No❑ Yes❑ No❑ <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> S� Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />