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APPLICATION. MINOR SUBDIVISION <br /> ' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEP <br /> RTMENT <br /> PROPOSED PARCELS <br /> Square Footage <br /> l=xfsfing or Proposed Use of Parcel or Acreage <br /> F <br /> cel Number ' <br /> � O <br /> /' •q G <br /> ! SITE IMPROVEMENTS AND SERVICES <br /> !IFE ' <br /> Water '' <br /> public Wafer Service Provider Annex-Formation Distance to Public Water(Feet) <br /> Required <br /> Existing o <br /> Proposed o <br /> h <br /> Existing Well <br /> New Well o Well Replacement o f <br /> Private Water g h <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Required Facility <br /> Disposal <br /> Existing o <br /> Proposed o <br /> Onsite sev(age Existing Septic System Now Septic System oOiher o <br /> DJs osaJ <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing o <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) o Natural Dralnage/No Change Other o <br /> a Dralnage o <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> ' <br /> Telephone Service <br /> Cable Television Service <br /> Service Provider ..Distance to Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o;No <br /> ! v L <br /> Yes o No o Yes o No o; <br /> Proposed Roads <br /> wr Road/Street Name s" R:O.W."INldth Pavement Wldth=.� Curb/Guttcr— -- -_ — r Sidewalks <br /> d <br /> Yes o No o Yes o Na a, <br /> Yes o No o Yes o No o <br /> 4 <br /> h, <br /> -3- <br /> F <br />