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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> �c or Acreage <br /> CVc/E C 1 T �n(j D.CX� igC , <br /> cle-en <br /> %€ e�tSl NPF�OYEMENTS A Stlt(GS �` <br /> Public Water Service Provider Annex-Formation Dlriance to Public <br /> Existing ❑ Required Water(Feat) <br /> Proposed ❑ <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> s <br /> �3t ,` ` 5evago btsposal ,: „ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed❑ <br /> LD-111tPOOSI-A <br /> ewage Existing Septic System ❑ New Septic System ❑ Otho ; q /V <br /> WN . _. <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detentlon- <br /> Drainage' Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainege/No Change JEI( Other ❑ <br /> Drainage <br /> ....j..+..is>INN <br /> ' ��-<:.,C .- ?n,",.'>aw a '�., :':.,T,s..1'm,•. :, :.:. ,o:z. . u.nNAlilirdl:�,s'mtR.•4�'. 3i,�L::..' 5�.....-.: <br /> Service Provider Distance to Service Sanice Provider Distance to <br /> Service <br /> 'C` 2y `�' a"�'%�C" y�q� s.a :t1✓ \ I�.� i (YF 'v v��.ythca` .. xaU,w <br /> .: C� �MOa'Y4/)rvo �.�. Y i <br /> Ano <br /> n' Vob(�.TQ1,�St=TlSyl 4'V. �a�,� <br /> w .. .> <br /> • Service Provider Distance to Service Sen ice Provider Distance to <br /> Service <br /> e EGL e <br /> Service Provider Distance to Elem Senica Provider Distance to Fire <br /> School Stallon <br /> 04 j, ' .✓ s <br /> y ^.. 9A.;' y,firk 55'Z : y Y ...�.4Iv ',t[rft <br /> a ;Exkiing OWN <br /> k. <br /> Road/Street Name R.O.W.Width Pavement Widtt. Curb/Gutter Sidewalks <br /> ZZ Yes❑ NoX Yes❑ Nom <br /> Cj LTIlN Q Z z Yes❑ No)<S Yes❑ No <br /> MEN!M: ,EVpgP ...aC R08tla :r .�.<.'.'�w `cs.., z' :a"`£Msa�' <`,• <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> G r Yes❑ NoA!r— Yes ❑ No-CT-- <br /> Yes <br /> ob—Yes ❑ Nom Yes ❑ No-f!r- <br /> _5_ <br />