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. - r <br /> APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED <br /> Number Existing or Proposed Use of Parcel Square Footage <br /> PARCELS- <br /> Parcel <br /> or Acrea e <br /> O YYLe "PM ! vi G� YUX- 4_0 A<V- <br /> Z- �w�Q_ 5 I G-.�) �✓S e f�..�C r� q-v AC i.P <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing o Required <br /> Proposed o q (Feet) <br /> Private Water 4__ Existing Well o New Well o Well Replacement 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 Sewage Existing Septic System o New Septic System o Other o <br /> Dis osaI <br /> Storm Draina e <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 DrainagelNo Change o Other o <br /> Drainage <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to Service <br /> Service <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 /> School <br /> r�1 Sc Cioo Z, +�� 2 2 '"tom S <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> 62 � Yes o No Yes o No Q--- <br /> Pr osed Roads <br /> RoadlStreet 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 (IHO) <br /> -3- <br />