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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 /> a CI <br /> "hy a C V e-5 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System t!, New Septic System ❑ Other ❑ <br /> Disposal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> f G rill _5 fc� "lea <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> ✓L <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br />