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PRUtN APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> �Sa,arcs of frcc5 <br /> Uses to the North: +r c <br /> Uses to the East: f rt�� <br /> Uses to the South: <br /> Uses to the West: <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Water❑ Existing Well ❑ New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facili <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Disposal ❑ Existing Septic System ❑ New Septic System Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> =Pr,,atetorm Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> G _ Un N/,A- <br /> F.\DEVSVS\Planning Application Forms\Minor Subdivision(Rev. 12-09-04) Page 4 of 9 <br />