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r <br /> APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Existing or Proposed Use of Parcel Square Footage <br /> Parcel Number or Acreage <br /> 17 f Ae- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> 7fExisfing <br /> Service Provider Annex-Formation Distance to Public Water(Feet) <br /> Required <br /> Ex/sfin Well New Well Well Replacement o <br /> Private Wafer 9 <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Required Facility <br /> Disposal <br /> Existing o <br /> Proposed o <br /> On-site Sewa a Existing Septic System New Septic System oOther X <br /> Disposa / <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) o Natural Drainage/No Change Other o <br /> Drainage o <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 /> �/ o)- Y/ e <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Sta600 <br /> School p <br /> 472. le- S <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> i C2¢� Yes o No� Yes o NX <br /> Yes o No o Yes o No o <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No o Yes o No o <br /> Yes o No o Yes o No o <br /> 3- <br />