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p4Ut" APPLICATION - MINOR SUBDIVISION <br /> T < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> �A�lFpRa`P <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: V l cJ <br /> Uses to the West: ✓t <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> 2, V itA1-241 Ac. <br /> V, }SS <br /> Ar- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing❑ <br /> Proposed ❑ <br /> Private Water® F—ExistingWell ❑ 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 Disposal Existing Septic System ❑ New Septic System Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Draina e R. On-site Retention Pond(s) ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service I Service Provider Service <br /> F:\DEVSVS\Planning Application Forms\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />