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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> Or Acres e <br /> —fes -2 (no.4 v . V i OT .. -roLl PAA�.l GA,c <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing o Required (Feet) <br /> Proposed <br /> Private Water Existing Well c New Well a L.) D2, Well Replacement o <br /> �a <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed <br /> On-site Sewage Existing Septic System o New Septic Systgfi,q Other o <br /> Disposal o �J n1 � • <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed <br /> Private Storm On-site Retention Pond(s) o Natural Drainage/No Change ® Other o <br /> Drains e o <br /> Electricity Natural Gas <br /> Service Provider Distance•to Service Provider Distance to Service <br /> Service <br /> t�� o <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> saI <br /> School Service Fire Protection Service <br /> Service Provider Distance to Etem Service Provider Distance to Fire Station <br /> School <br /> M/yJT 4 V�+iFI <br /> -- ---- stin -bads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 0 Nov Yes o No gb <br />