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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSEII PARCELS: <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> 2 e �e <br /> SATE IMPR�1lEMENTS aNQ SERVICES - <br /> Wates <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required (Feet) <br /> Proposed❑ <br /> / V <br /> 114 <br /> Private Water❑ Existing Well New Well Well Replacement ❑ <br /> e Dts asst >:.. <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facili <br /> Existing C A/ 4 ' y C 4 l <br /> Proposed❑ <br /> On-site Sewage Existing Septic System C New Septic System Other C <br /> Disoosal❑ <br /> --Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing p /Y <br /> Proposed C 1141114 <br /> Private Storm Cn-site Retention Pand(s) ❑ Natural OrainagedNo Change�51 Other C <br /> Drama e <br /> Efectric:ty _ ___ <br /> Natural Gas <br /> I <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Z7 <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> F I A/1,41 I AI � <br /> i School Service Fire Protection Seriica <br /> i <br /> � Service Provider I Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> L ire rn s 51kn 6 LIr-a/ 3 rn e s <br /> Existing Roads <br /> i <br /> RoadlStreet^Jame I R.O.W.Width I Pavement Width I CurblGutter I Sidewalks <br /> d e Ltl�/ 2 I t�0 r I /f I Yes C NoX Yes O Noky <br /> ' I Yes❑ No❑ I Yes❑ No❑ <br /> Pr000sed Roads <br /> I <br /> Road/Strr_t Name I R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> 1 <br /> ! Iv ,t3f Yes❑ No� Yes C No <br /> N ' <br /> i Yes a No u Yes 0 No 0 <br />