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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 /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required (Feet) <br /> Proposed 1-1 <br /> Private Water Existing Well O New Well Well Replacement F1 <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing U <br /> Proposed U <br /> On-site Se a Existing Septic System ❑ New Septic System�j Other ❑ <br /> Dis osal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing U <br /> Proposed U J <br /> FPrivate Storm On-site Retention Pond(s) I� Natural Orainage/No Change U Other ❑ <br /> Draina e 1 1 <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Telephone Service 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 /> E istinq Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 41 Yes❑ No <br /> �f Yes❑ No <br /> h0`7 z r�, j Z L., <br /> O Yes❑ No�< Yes❑ No IW <br /> Proposed Roads <br /> Road/Street Name R.O.W.WidthPavement Width Curb/Gutter Sidewalks <br /> Yes 0 No O Yes❑ No U <br /> Yes❑ No❑ Yes Cl No U <br /> -3- <br />