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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 /> or Acreage <br /> 1 Residence/Agriculture 10 acres <br /> 2 10 acres <br /> 3 " <br /> 18 acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing ❑ Required Water(feet) <br /> Proposed ❑ <br /> Private Water X Existing Well ❑ New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage I Annex-Formation Distance to Public <br /> Disposal Service Provider <br /> Require( Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System ( Other E3Disposal <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider _ <br /> Required to: Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm <br /> Draina e On-site Rentention Pond(s) ❑ Natural Drainage/No Change X Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> P. G. & E. on-site N/A <br /> Telephone Service Cable Television <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Pacific Bell on-site N/A <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Elements School Fire Station <br /> Escalon Unified School District 4± mi. Escalon Fire District 4± mi. <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/ utter Sidewalks <br /> St. HWY 120 60' 32±' ❑Yes �No I ❑Yes l(No <br /> Henry Rd. 40' 24±' ❑Yes }5(No ❑Yes *o <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A ❑Yes ❑No ❑Yes ❑No <br /> ❑Yes ❑No ❑Yes ❑No <br />