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C) � y! ' APPLICATION- MINOR 'SUBDIVISION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT f PROPOSED PARCELS Parcel Number ExtWng or Proposed Use of Parcel Square Footage orAcreage 3 t 57. Ll -SITE IMPROVEMENTS AND SERVICES Water Public Water Service Provider Annex-Formation Distance to Public Water(Feet) FdcNng o Required Proposed o ,r Private Water o Existing Well o New Well o Well Replacement o Sews D1s osal .. Pubuc Sewage Service Provider Annex-Formation Distance to Public Sewer Dhposai Required Faciffty Exfsifitg t� Proposed o s On-she Sewage Existing Septic System o New Septic System oOther o ' Dis 10 Storm Dralnage Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds Dralnage 4 - Required to: Existing Proposed o Private Storm On-she Retention Ponds) o Natural Drainagewo change o other o Drainage o I Electricif `. Natural Gas Service Provider Distance to Service Service Provider Distance to Service Telephone Service Cable Television Service i Service Provider Dfstance to Service Service Provider Distance to Service t` -- o---•--•-- School Service l=ira Protection Service Service Provider Dl once to Elem Service Provider Distance to Fire-Station— - 4 School s-!," F F�risUng Roads Y 1 W.Width +�"°"P6%Ferrienf Wfdtlk �6iblutter ��F~Sldewaiks Yes o No Yes o NOW-- /� ��'� +� O ! 'J u ' yes.o. N� Yes o No 'L !!l rr��! V Pm posed PRooa!ds Roa&Streetllame R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes 0. No o Yes o No* Yes o No o Yes o No o r _ _ }