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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSER PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> /or Acreage <br /> . <br /> SATE IMPRICUEMEUM- ---iNII:f VLCES+.. <br /> Yllater....:. <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required (Feet) <br /> Proposed❑ <br /> Private Water Existing WL-11 New Well Well Replacement C <br /> c. <br /> j <br /> Public Sewage Service Provider Annex-Forn!12don Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing p <br /> Proposed❑ <br /> On-site Sew ge Existing Septic System New Septic System Other ❑ <br /> Disposal <br /> ...__ ...._ _...._.__ ..._ _.._ ........ <br /> _... <br /> S&ortrr:i3ratna <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm I On-site Retention Ponds) ❑ Natural Drainage/No Change Other ❑ <br /> Oraina e C <br /> Electric3v Natural Gas __. ..:. <br /> I <br /> Service Provider Distance to Service I Service Provider Distance to Service <br /> ITelephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Servica <br /> School Service Fire Protection Service <br /> Service ProviderI Distance to Elem I Service Provider Distance to Fire Station <br /> School <br /> Existing Roads <br /> i <br /> Road/Street Name I R.O.W.Width I Pavement Width Curb/Gutter I Sidewalks <br /> O I r7 / I Yes C] No I Yes❑ No)? <br /> Z � I Yes❑ Now I Yes G Nd-)p � <br /> Pr000sed Roads: <br /> RoadiStreetName I R.O.W.Width I_Pavement Width CurbiGurter Sidewalks <br /> Yes❑ No❑ � Yes❑ No❑ <br /> i <br /> Yes G No C Yes 0 No 0 <br />