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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PR4 P En Pi#R 1.4 <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> '-/b or Acreage <br /> 1 Home and Orchard 5. 3+ Ac <br /> Vacant 4.7 + Ac <br /> . �flltatar <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Watery Existing Well Z4 New Well Well Replacement ❑ <br /> S+aWl�ge C#Isposz�t <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ❑ Required Sewer Facility <br /> On-site Sew a Existing Septic System M New Septic System Other ❑ <br /> Disposal <br /> Storftrt Pralals :::: >:. <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On site Retention Pond(s) ❑ Natural Drainage/No Change N Other ❑ <br /> Drainage[X <br /> Elpeti#Si , <br /> ttRlttrwf . <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P. G. E. Adjacent None <br /> G*hfb T0Ievlsf4ti:Sery <br /> ice <br /> T.::.: p�h nectirl ' <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P. T. �, T. Adjacent None <br /> WOW_4 <br /> a P io�t Sertiae <br /> . ............. .... .. <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> L.U.S.D. 6 miles Libert 2 miles <br /> '�x�tlftig'F{oAd;, s <br /> Road/Streot Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 40 feet 24 + Yes❑ No;Q Yes❑ Nod] <br /> Private 40 feet �,� Yes❑ Nod] Yes ❑ No�7 <br /> #�ropose�d>�eadt� <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> F_ Yes 0 No 0 Yes 0 No 0 <br />