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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 Acrea e <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existingl6 Required (Feet) <br /> Proposed <br /> Private Water Existing Well c New Well o Well Replacement o <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> ExistingAy <br /> Proposedo <br /> On-site Sewage Existing Septic System o New Septic System o Other o <br /> Disposal o <br /> SrormDrainage <br /> Public Storm Service Pro ider / Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainagec "r�i�7 r P /`%G F+ Required to: <br /> Existing k 5'— <br /> Proposed o %tt /iY.� i6Y%/x� <br /> Private Storm On-site Retention Pond(s) o Natural Drainage/No Change o Other o <br /> Drainage o <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to service <br /> Service <br /> Tele hone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to Service <br /> 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.00..W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes o No Yes o No <br /> Yes o No o Yes o No o <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> - Yes o No o Yes o No o <br /> Yes o No o Yes o No o <br /> NINOPSMAPP PORE RV. 0.10.01 ISN.) <br />