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APPLICATION-MINOR SUBDIVISION <br /> SAN-JOA QUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> orAcreage <br /> 15 c 5,71 <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 o <br /> �'ra c l�/t/f s it/o .0/14 <br /> Private Water Existing Well o New Well o Well Replacement o <br /> Sewa a Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed o <br /> �r'�d2 c S s �iyl it/o i✓ A <br /> On-slte Sewage Existing Septic System o New Septic System o Other <br /> Dis osal o <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) o Natural Dralnage/No Change Other o <br /> Draina e o <br /> Natural Gas <br /> Electricft <br /> Service Provider Distance'to Service Provider Distance to Service <br /> Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> �S��l�Y1 C�h/ i�1 /• D �+ ✓ Q{�rilirl �h /, o lytl � <br /> Ex sflnq Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> lg�2, Yes o No Yes o No <br /> Yes o No c Yes o No 0 <br /> Pro osed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No 0 <br /> Yes o No o Yes o No 0 <br /> MINCRSUBAPP tCRH 0.EV. 1.10.01 IINDI <br />