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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> . <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> O - .��o--0 T ✓i n� o T Gel s - D <br /> ewee <br /> SITE 'MPROVEMENTS'AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water (Feet) <br /> Proposed <br /> private Water ❑ Existing Well ❑ New Well ) Well Replacement ❑ <br /> S e'f)Is sal a <br /> swag Po <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed 5K S Qtr/a 5•,c�Tf:� —/ <br /> On-site Sewage Existing Septic System ❑ New Septic System Q Other ❑ <br /> Disposal 7- <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change B--, Other ❑ <br /> Drainage❑ <br /> Electricity Natural Gas ?: <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Telephone Service Cable Television Service, <br /> Service Provider Distance to Service Service Pr eider Distance to <br /> Service <br /> School Service Fire Protection Setviae <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Z-1)D <br /> . ............ . ...... <br /> ..................................... <br /> Existing Roads <br /> Road/Street Name R.O.W".Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No PIN Yes❑ No jW <br /> Yes❑ No❑ Yes❑ No❑ <br /> pfopoaed:Roaida .... . <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No Yee❑ No <br /> Yes❑ No Yes ❑ No❑ <br /> -3- <br />