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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PR0P0SED PA1CGELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> 1 Residential 1 . 52 Ac . <br /> Remainder Agriculture 23 . 0 Ac . <br /> 5I1' IfNP ?YEMENTS AIwD S fiVie£5.....;.. <br /> Willr . f <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water(Feet) <br /> Private Water Existing Well IK New Well ❑ Well Replacement ❑ <br /> .'„ Sewn' Pa <br /> pis sa[ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System X} New Septic System ❑ Other ❑ <br /> disposal CSX Installed within 1 year , <br /> Storm Drain�e <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage [D Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change CX Other ❑ <br /> Drainage CX <br /> Eleclrktly INatural Cas <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P . & E. 30 ' <br /> Telephone Servipe Cabfz:�eevision'."Servide <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Pa Bell. 30 ' <br /> School SersrEcs <br /> Fire Pralealion Servrae .'. <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Jefferson 2 . 5 miles Tracv Rural 3 . 0 mile <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Bird Road 60 ' 30 ' Yes ❑ No CX Yes❑ No M <br /> Yes❑ No C] Yes❑ No❑ <br /> Aropoced I�oedt: <br /> Road/Street Name R.O.W, Width Pavement Width Curb/Gutter Sidewalks <br /> None Yes❑ No 0 Yes C3 No❑ <br /> } Yes❑ No❑ Yes❑ No❑ <br /> ti �r <br />