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r, <br /> i <br /> APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED IPARCEI_S <br /> Parcel Number Existing or Proposed Use of Parcel <br /> Square Footage <br /> or Acrea e <br /> '/ <br /> z /�i77G S� Gam" et G <br /> 3 ., <br /> 142 14e <br /> SITE:IMPROVEMENTS.'AND.SERMCES: . <br /> Water <br /> Public Water Service Provider <br /> Existing Q Annex-Formation Distance to Public Water <br /> Proposed❑ R wired Feet <br /> Private Water 1116, Existin Well vll� New Well W-10, <br /> Well RePlacement ❑ <br /> 'Sewn eats sal: <br /> Public Sewage Service Provider <br /> Disposal Annex-formation Distance to Public Sewer <br /> Existing a Required Facili i <br /> Proposed❑ <br /> On-site Sewa e i <br /> 8 Existing Septic System New Septic System Other Q <br /> Dis osaf <br /> Stonri Maina e .` <br /> Public Storm Service Provider Annex-Formation r <br /> Drainage Terminal Drainage Detention-Retention Ponds <br /> Existing❑ Required to. <br /> Proposed❑ <br /> i <br /> Private Storrn On-site Retention Pond(s) 0 Natural Drainage/No Change IIS <br /> Draina c Other ❑ <br /> ] <br /> I <br /> Electricit Nafural Gas <br /> Service Provider Distance to Service <br /> Service Provider Distance to Service <br /> Tete (tone 5erVice . <br /> Cable TelevFsion Service <br /> Service Provider Distance to Service <br /> Service Provider Distance to Service <br /> School Service .: i7is <br /> Fl .Pratet ian Setvfce <br /> Service Provider Distance to Elem <br /> Service Provider <br /> School Distance to Fire Station <br /> 7 77 <br /> Existin Roads <br /> RoadlStreet Name R.O.W.Width Pavement Width <br /> GurblGutter Sidewalks <br /> ..SRGtuGES Ga r Z /f Yes❑ No <br /> Yes❑ Na ins <br /> Yes❑ No✓J Yes❑ No❑ <br /> Pro ased:Roads <br /> Road/Street Name R.O.W.width Pavement Width <br /> �l GurblGutter Sidewalks <br /> e - Yes❑ No❑ Yes❑ No l3 <br /> Yes❑ No❑ Yes i7 No❑ <br /> i <br />