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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> PRo <br /> Parcel Number Existing or Proposed Use of Parcel SquarepvSE� <br /> Footage <br /> or Acrea e/-� <br /> L 2 , <br /> Z AL <br /> SITE.IMPROVEMENTS:AND.SERVICES <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required Feet <br /> Proposed❑ <br /> I <br /> Private Water Existing Well ❑ New Well Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> j Existing O <br /> Proposed❑,E: <br /> On-site Se a e Existing Septic System ❑ New Septic System�I Other ❑ <br /> Disoosa , <br /> I. <br /> r , <br /> Stlorm Draina e <br /> Public Storm Service Provider i Annex-Formation Terminal Drainage I Detention-Retention Ponds <br /> if Drainage I Required <br /> to: <br /> Existing❑ <br /> Proposed C <br /> I <br /> j Private St I On-site Retention Pond(s) Natural DrainageiNo Change Other ❑ <br /> Draina a ,\ <br /> Electricity <br /> Naiural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> -P6 F, e _ <br /> - - <br /> Telephone:Service: Cable TeievtsiorrServlce <br /> Service Provider Distance to Service Service Provider <br /> I C i Distance to Service <br /> School Service. I Fire Protection Service <br /> i -- <br /> Service Provider I. Distance to Elem Service Provider Distance to Fire Station <br /> I School <br /> Existing Roads <br /> Roac/Street Name I R.O.W.Width ! P3vementWidth I Curb/Gutter Sidewalks <br /> Yes C No I Yes❑ NoK <br /> R� 1n <br /> Yes❑ NOX Yes❑ No,f <br /> Proposed Roads <br /> Road/Street Name I R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> ' / <br /> Ao►�i�lC� 4 I JL I -2q I Yes❑ No Yes❑ Nq <br /> I I i <br /> Yes u Ivo L � t es G wo❑ iI <br />