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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :.. .:. ::.::......:::.:::::::.:::.:::.:. OPOSED PARCELS <br /> ...::...... ...::::: <br /> -. <br /> :::: ........ <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> G <br /> SITE IMPROVEMENTS 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 0 <br /> i�V118g8.' C>tpOfB:i .. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal _ Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ `/ <br /> On-site Sewage Existing Septic System �L New Septic System 0 Other ❑ <br /> Cisoos. ; /// ��` <br /> :: .. Storm Drainage <br /> Public Storm Service Provider Annex-Formation Termtca Drainage Detention- <br /> Drainage Required Retention Ponds <br /> Existing ❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drairage/No Change Other ❑ <br /> Drainage❑ <br /> Elecuipity Nat urat Gaa <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> 00��:7z� <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> -r <br /> School Service f PfO1CC1tOR$O# <br /> Service Provider Distance to Elem Seivice Provider Distance to Fire <br /> School Station <br /> _... . ;exit:#i��;<Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> !�V/ Yes ❑ No Yes❑ No* <br /> Yes❑ No❑ Yes❑ No Cl <br /> Proposed Roasts <br /> Road/Street Name R.O.W.Width Pavement Widtn Curb/Gutter Sidewalks <br /> /S �GIGi 810d Yes❑ No;2(-- Yes❑ No MK_ <br /> Yes❑ No❑ Yes ❑ No❑ <br /> -3- <br />