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y - ' <br /> 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 /> or Acreage <br /> Az <br /> I J_6 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required (Feet) <br /> Proposed❑ <br /> Private Waterx, Existing Well New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Existing Septic System New Septic System ❑ Other ❑ <br /> Dis osal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm C) Natural Drainage]No Change Other 17 <br /> DraOn-si�Retent�ionPond(s) <br /> ma e U <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Telephone Service Cable Television Service <br /> Service Provider DistancEto iceService Provider Distance to Service <br /> �GJc - fie/ / - <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Existinq Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> JRYes C1NoA Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> _ <br /> Road/Street Name _R.O.W.Widih Pavement Width Curb/Gutter _ Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />