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„q�(y <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> Agriculture <br /> Uses to the North: <br /> Agriculture <br /> Uses to the East: <br /> Agriculture <br /> Uses to the South: <br /> Agriculture <br /> Uses to the West: <br /> Agriculture <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> 1 Agriculture 10.00 Ac. Gross <br /> 2 Agriculture 10.00 Ac. Gross <br /> 3 Agriculture 10.05 Ac. Gross <br /> 4 Agriculture 10.00 Ac. Gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> ffEt <br /> Annex-Formation Distance to Public <br /> Service Provider Re uired Water Feet <br /> Private Water® Existing Well ❑ New Well ® Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing❑ <br /> Proposed ❑ <br /> On-site Sewage Disposal ® Existing Septic System ❑ New Septic System ® Other ❑ <br /> Storm Drainage <br /> Public Storm Drainage Annex-Formation Terminal Detention- <br /> Existing ❑ Service Provider Required Drains a to: I Retention Ponds <br /> Proposed El <br /> Private Storm Drainage ® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PG&E Existing On-site Propane NIA <br /> F:TEVSVS\Planning Application Forms\Minor Subdivision(Rev.12-08-04) Page 2 of 5 2016-174 Minor Subdivision <br />