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,. APPLICATION.MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> i <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> / or Acrea e <br /> cues <br /> Z /r /r // <br /> 3 r If , <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing o <br /> Proposed o Required (Feet) <br /> Private Wafer Exlstin Well o New Well Well Replacement o <br /> Sewa a Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed <br /> On-site Se Existing Septic System o New Septic System Other o <br /> Dls osal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to; <br /> Existing o <br /> Proposed o / <br /> Private Storm On-site Retention Pond(s ,l� Natural Dralnage/No Change o Other o <br /> Drainage o / � <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> r <br /> T <br /> elephone - Cable Television Service <br /> Distance to Service Provider Distance to Service <br /> Service <br /> 017 -51 <br /> Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Exlstin Roads <br /> Road/Street Name R.O.W. Width Pavement Width CurGrGutter Sid walks <br /> Yes o No Yes o No <br /> Yes o No o Yes o No o <br /> Pro osed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yos o No o Yes o No o <br /> xixauuwrr roex uv. r-m-m unci <br />