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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use,of Parcel Square Footage <br /> or Acreage <br /> e, 514 c-- <br /> .........a' '. <br /> ............ <br /> R <br /> p <br /> Public Water Service Provider Aniox-Formation Distance to Public <br /> Existing 0 Required Water (Feet) <br /> Proposed 0 <br /> Private Water ExMng Well New Well Well Replacement 0 <br /> S4>ar. W <br /> M.— <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing 0 <br /> Proposed 0 <br /> On-site Sews a Existing Septic System New Septic System Other 0 <br /> Disposal <br /> "P <br /> 'M <br /> ,63 <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing C1 <br /> Proposed 0 <br /> Private Storm On-site Retention Pond(s) 0 Natural Drainsige/No Chattge>( Other 0 <br /> Drainage❑ <br /> .......... <br /> Distance to <br /> Service Provider Distance to Service Service Provider Service <br /> l�I <br /> .......... <br /> ISOM <br /> 70110vif 00 <br /> ..... Tw� <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> . ................. <br /> ....... .. ....... <br /> D <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> 12 <br /> n" <br /> ............. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 0 No Yes 0 No <br /> Yes 0 No 0 Yes O NoO <br /> ns�w-M. M "MR1 <br /> Road/Street Name R.O.W.Width Parvernent Width Curb/Gutter Sidewalks <br /> Yes El No[3 Yes 0 No 0 <br /> Yes Cl No 0 Yes 0 No 0 <br /> IB <br /> 3- <br />