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t <br /> APPLICATION- !MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY.COMM UNITY DEVELOPMENT DEPARTMENT <br /> { PROPOSED.PARCELS <br /> q:. Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acrea e <br /> Z t50 Air <br /> SITE-IMPROVEMENTS:AND:SERVICES <br /> Water.. <br /> i <br /> Public Water Service Provider Annex-Formation Distanceto Required (Feet)Public Water <br /> Existing❑ <br /> 1 <br /> Proposed❑ � <br /> i <br /> 1 Private Water Existing Wel! New Well ❑ Well Re lacement ❑ <br /> A <br /> Sewage.Dis osal <br /> I: <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Se a e Existing Septic System New Septic System .❑ Other ElDisposal <br /> '`Stoim Draina a :. . <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Re uired to: <br /> Existing❑ <br /> Proposed 0 <br /> Private Storm On-site Retention Pond(s) O Natural DrainagelNo Change Other 171ttt Oraina e❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> f YISi l <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School f <br /> Existing Roads. <br /> RoadlStreet Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No 0 <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> f Yes❑ No, l,� Yes❑ NOX <br /> Yes Q No Yes❑ No <br /> -3- <br />'r - <br />