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P(�UI y <br /> '° APPLICATION - MINOR SUBDIVISION <br /> e� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> 4tiFoal <br /> Existing Land Uses , <br /> On-Site Uses Include Ag Crops): G /� <br /> Uses to the North: QS/ <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: / <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing n^ <br /> Proposed❑ (��i �'1/el <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Re wired Sewer cility <br /> Existing ❑ ^ <br /> Proposed❑ <br /> On-site Sewage Disposal❑ Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Drainage Service Provider Annex-Formation Terminal Detention- <br /> Existing ElRequired Drainage to: Retention Ponds <br /> F <br /> Proposed El ! ;— <br /> Private Storm Drain e❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider <br /> Service <br /> P6- <br /> le-F Application Forms\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />