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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> E is / rte :-o��� ' o es C✓ <S �� - �� <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water 7� Required Water (Feet) <br /> / <br /> Private Water ❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ❑ / Required Sewer Facility <br /> On-site Sewa e Existing Septic System ❑ New Septic System` Other ElDispose <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> i <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage ED <br /> Eleciricily Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Telephone Service Gable Television Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> � l'7 �Gl �/�! ��D � L pig �i�i r•.�t � �- ,k1/<G�l1iU�J ��)'? <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Existing Roads <br /> Road/Street Name / R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> 2- /) S Yez� r Yes ❑ No Yes ❑ No's <br /> Yes❑ No ❑ Yes ❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No ❑ Yes❑ No❑ <br /> Yes 0 No 0 Yes 0 No 0 <br />