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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 /> A4 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 o <br /> Private Water Existing Well New Well o Well Re 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 New Septic System o Other o <br /> Dis osa <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 Drainage/No Change Other o <br /> Draina e <br /> X- <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <br /> L <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 /> 1� School / c <br /> �-SCGi �0'� l.'1U l—( rye <br /> Existinq Roads <br /> Roa <br /> d/Street Name 7� R.OI.W. Width Pavement Width Curb/Gutter Sidewalks <br /> _C ( l� — 1 C) Yes of o Yes o No� <br /> �. - <br /> Lie L --7 <br /> 1 ,C Yes o N Yes o No <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yes o No o Yes o No o <br /> MINORSUBAPP FORM REV. 8-10-01 (IRD) <br />