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APPLICATION- MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> or Acreage
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Existing❑ Required Water(Feet)
<br /> Proposed❑
<br /> Private WateNk Existing Well ❑ New Well Well Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
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<br /> Proposed❑
<br /> On-site Se age Existing Septic System [03 cow Septic System Other [IDispo
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<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Existing❑
<br /> Proposed❑
<br /> Private St m On-site Retention Pond(s) ❑ Natural Drainage/No Changs Other ClDrainag
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<br /> Service Provider Distance to Serw- Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Elam Service Provider Distance to Fire
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
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