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a°¢ FILE NO: MS- <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> C4</F ORN`P <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): / lE Df En ( gni <br /> Uses to the North: /L�iOEltiCF pv t qN9 <br /> Uses to the East: 1 GE <br /> Uses to the South: OO6-7v Z,q i GGr <br /> Uses to the West: /1 /DE/vCE nJ G <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> i 4k ate Z. <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 Existing Well New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facilit <br /> Existing F] <br /> Proposed ❑ <br /> On-site Sewage Disposal Existing Septic System Rr New Septic System ® Other ❑ <br /> Storm Drainage <br /> Ann tion Terminal Detention- <br /> Public Storm Drainage Service Provider Re uired Drainage to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm Drainage On-site Retention Ponds ❑ Natural Drainage/No Chane JZ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> O 6� ta"r- 6 ,r <br /> F:\DEVSVS\Planning Application Fonns\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />