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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> >pR©POSE��PaRCE1=5• . ....:;., .: ;,: >, <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> �or Acreage <br /> 25 <br /> ETEAMPRWEMENTS"JiNtZ:SERVICES. <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required (Feet) <br /> Proposed❑ <br /> Private Water Existln Well New Well Well Replacement ❑ <br /> D sal: <br /> Public Sewage Service Provider Annex-Fonnadon Distance to Public Sewer <br /> Disposal Required Facili <br /> Existing p <br /> Proposed p <br /> On-site Sew ge Existing Septic System New Septic System Other ❑ <br /> Oisoosal <br /> Storrs:13n iia <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed❑ <br /> F—P.-vate Storm I On-site Retention Pond(s) C3Natural DrainagdNc Change Other ❑ <br /> rama e❑ <br /> Electric3v « Natural Gas <br /> I <br /> Service Provider Distance to Service Service Provider Distance!2-S <br /> i� E. Ori- s�Af <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Oistance to Service <br /> 96 - / e_ <br /> School Service Fire Protection Service <br /> I <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> I School <br /> Existin Roads <br /> i IRoad/Street Name R.O.W.Width I Pavement/Width I Curb/Gutter I Sidewalks <br /> O ' I 2 / / I Yes p Nok Yes p 11 <br /> Yes G No I Yes G Nc <br /> Proposed Roads: <br /> R.O.W.'Mdtft I Pavement Width CurtdGurter I Sidewalks <br /> II I III• I I mi 111 —11101— <br />