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P,•H1H, - <br /> �` ° APPLICATION - MINOR SUBDIVISION <br /> { SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Telephone Service Cable Television Service <br />! <br /> Service Provider Distance to Service Service Provider Distance to Servicb <br /> Cc - 0/1 - <br /> School Service Fire Protection Service <br /> Distance to Elem. <br /> / Service Provider School Service Provider Distance to Fire Station <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Gurb/Guner Sidewalks <br /> 1//S -S2 /rYes No Yes No <br /> G <br /> 4/ Yes Q No Yes❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes No 0 Yes Q No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> ENVIRONMENTAL INFORMATION <br /> Water, Drainage and Flooding <br /> Describe any areas su ect to(loodin Include flood depths and flood panel map number): <br /> Describe the curreqt_dqpth of the ground water and depth to potable water: <br /> Describe any existinQ drain a courses or eroded areas on or near the pLoject site(e.g.rivers, creeks, swales or drainage ditches): <br /> C.� <br /> Land,Land Use and Blots <br /> Describe the site's!2p2S ra (e.g. land forms,slope s,etc.): <br /> Describe a dcultural land that will be lost as a result of the proqect a of crops,acres,qualq of soil, etc. : <br /> F:0EVSVS%Rann0g Application FormsUnor suw1vtston(Rev.12-09-04) Page 5 of 9 <br />