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APPLI...., A- MINOR SUBDIVISION <br /> SAN JOAQUIN CU I Y COMMUNITY DEVELOPMENT DEPARTMENT <br /> V.................... ........... <br /> Parcel Number Existing or Propoeed Use of Parcel Square Footage <br /> or Acreage <br /> .. ........... ......... <br /> ............. <br /> �b X. x <br /> NO <br /> ......................... ... .............. <br /> ........................ <br /> 44 R.......... <br /> 121 I'M1111*11.10'�-,.0, <br /> X.. <br /> Public Water Annex-Formation 1 Distance to Public <br /> Existing[3 Required Water(Fast) <br /> Proposed El <br /> Private WaterX Existing Well)Z Now Well 0 Well Replacement 0 <br /> Public Sewage Saw"Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing 0 <br /> Proposed(3 <br /> On-she Sewage Edgfing Septic SystornX Now septic System t3 Other 0 <br /> OM <br /> uiro <br /> Disposal)g: <br /> .. ....... <br /> :.0 <br /> 11W <br /> Public Storm SerAft Provider Annex-Formadon Terminal Drainage Detention- <br /> Drainage Required to, Retention Ponds <br /> Edsting 0 <br /> Proposed[3 <br /> Private Storm On-oft Reterdion Pond(s) 13 Natural Drainage/No Change Other 0 <br /> Dralnagox <br /> .... ............. ...... <br /> MIN:......N" <br /> M <br /> 01"IMAR.0 <br /> .> -0! <br /> N. <br /> ........... <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> ............. ... ... <br /> N .. .... <br /> �I.-ZI; ........... 'M� <br /> ........... <br /> Service Provider Distance to Sorvilos Service Provkler Distance to <br /> Service <br /> MM <br /> 52, <br /> r <br /> .......... <br /> Service Provklw Dishu"to Elern Service Provider Distance to Fire <br /> School 4��tatlon <br /> two,/JC-S' /Cv,� <br /> ............... -------- <br /> V� <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> o VW 4116 V zeal— �611 lo Yee 0 No;N Yes 0 No 0 <br /> Yes 0 No 0 Yoe 0 No 0 <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 0 No 0 Yes 0 No 0 <br /> Yes 0 No[3 Yes 0 No 0 <br /> .3- <br /> rK <br />