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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 Acreage <br /> r fo AI <br /> 2 <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 /> Private Water ExIstIn2 Well New Well Well Ra lacement o <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing o <br /> Proposed o <br /> On-site Sewa a Existing Septic System r( New Septic System`i( Other o <br /> Dls I /` <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 DreinagalNo Change Other 0 <br /> Drains e <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> P G. ? E or - ire V. C,. iE ov, <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> 53G 1 0 n- Ae. <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> o c1 Ile 3 rhi l L� F�� aja2 rh 1 S <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Moth CurbrGutter Sidewalks <br /> t i <br /> v "ej 26 Yes o No Yes 0 No k _ <br /> Yes o No 0 Yes o No o �I <br />