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APPLICATION- MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Existing ❑ Required Water (Feet)
<br /> Proposed❑
<br /> Private Water Existing Well `51�_ New Well ❑ Well Replacement ❑
<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
<br /> Existing❑
<br /> Proposed❑
<br /> On-site Sewage Existing Septic Systeme New Septic System ❑ Other ❑ ;
<br /> Disposal
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<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Existing❑
<br /> Proposed ❑
<br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other d'
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service
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<br /> School Station
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> �t 7 Yes❑ No Yes❑ NO-911
<br /> Yes❑ No❑ Yes❑ No❑
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<br /> Yes❑ No❑ Yes❑ No❑
<br /> Yes❑ No❑ Yes❑ No❑
<br /> -3-
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