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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> orAcrea e <br /> - 9 <br /> C C. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water(Feet) <br /> Fxlsting o Required <br /> Proposed o <br /> Private Wafe Existing Wel! New Well Weil Re lacemont o <br /> sewage Disposal <br /> Public Sewage Service Provider Annex-Formatlon Distance to Pubflc Sewer <br /> Disposal Required Facility <br /> Exfstirtg o <br /> Proposed o <br /> On-site Sewage Existing Septic System New Septic System)IJ01her o <br /> Dls psa! <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Defentlon-Retentlan Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) o Natural DrainagolNo ChangeX Other o <br /> Dralna e <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> �1 E� <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutfor Sldewafks <br /> I C y l3 f Yes o NofV_ Yes o No <br /> a`— Yes o No o Yes o No o <br /> Pro posed Roads <br /> Road/Streel Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> C2 1\1 Yes o No o Yes o No o <br /> Yes o No o Yes o No o <br /> -3- <br />