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APPLICATION-MINOR SUBDIVISION <br /> ... SAN JOAQUIN COUNTY CO.._JNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> orAcreage <br /> msi <br /> 0 , Z(1_1 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Wate,, Service Provider Annex-Formation Distance to Public Water <br /> Exptl e / Required (Feet) <br /> Pro o ed o O C E a a/ <br /> Private Water o 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 /> Existin / <br /> Propos d o <br /> On-site Sewage Existing Septic System o New Septic System o Other o <br /> Dls osal o <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)IX Natural Drainage/No Change o Other o <br /> Drainage o <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 /> acke <br /> Ex tIng Roads <br /> Road/Street Name R.O.W. Width Pavement Wldth Curb/Gutter Sidewalks <br /> / 7 2. Yes o Nov' Yes o No <br /> Yes o N Yes o Nov( <br /> Pro posed 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 /> NINORsuBpp roRN REV. 1-10-01 (IND) <br /> -3- <br />