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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> [k2 : <br /> el Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> Agriculture �!0 Acres <br /> Aglicullure 40 Acres <br /> Public Water Annex-Formation Distance to Public <br /> Existing ❑_ Service Provider Required Water(Feet) <br /> Proposed ❑ <br /> Private Water❑ Existing Well ✓ New Well Well Replacement ❑ <br /> So <br /> Public <br /> !3 <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required water(Feet) <br /> Existing Ll <br /> Proposed ❑ <br /> On-Site Sewage Existing Septic System [_] New Septic System U Other ❑ <br /> Disposal❑ <br /> Storm DrdlHi;g '",I ry. <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Fxisting ❑ <br /> Proposed ❑ <br /> Private Storm On-site Retention Pond's ❑ Natural Drainage/No Change 0 Other❑ <br /> Drainage U <br /> Electticity <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> P.G.&E. Adjacent N/A <br /> r °^ Telephone <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Pacific Bell Adjacent N/A <br /> F ! , <br /> Schdol Service <br /> service Provider Distance to Elem School Service Provider Distance to Fire Station <br /> Linden <br /> Unified School 3 Miles Mokelumne Fire 5 miles <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Sargent Rd. 40' 24� YesF1 No - Yes No ✓ <br /> Yes No Yes No <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes 0 INo 0 Yes No <br /> Yes ❑ JNo ❑ Yes ❑ INo ❑ <br /> -3- <br /> 1:41 PMPA-1A98 February 1,1999 <br />