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p4U(ry APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> ���rFORN`P <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): �� p/�En/ (.��✓ <br /> Uses to the North: <br /> Uses to the East: / GF <br /> Uses to the South: OGE� 64— iOENGG� <br /> Uses to the West: /DEIvCE G <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> Z_ Z. SS/fr�s <br /> 2 O/?Za�psE/7 �/c� Z,oo mid e <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 ja New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Ann tion Distance to Public <br /> Public Sewage Disposal Service Provider Re uired Sewer Facili <br /> Existing❑ <br /> ty <br /> Proposed ❑ <br /> On-site Sewage Disposal Existing Septic System New Septic System ® Other ❑ <br /> Storrs Drainage <br /> Annex-Formation Terminal Detention- <br /> Pubiic Storm Drainage Service Provider Required Drains a to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Drainage On-site Retention Ponds ❑ Natural Drainage/No Change Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> F.TEVSVS\Planning Application Fonnswlinor Subdivision(Rev.12-09-04) Page 4 of 9 <br />