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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel <br /> Square Footage <br /> or Acreage <br /> 1 n <br /> single fam-i-ly residence <br /> —single family residence <br /> SITE IMPROVEMENTSAND SERVICES <br /> Public Water SerAce Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed ❑ <br /> provide private wells <br /> Private Water M Existing Wall EX New WNI ESI Well Replacement ❑ <br /> .;...e :.:... <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed provide site septic systems <br /> On-site sewage Existing septic system [A New septic system p other ❑ <br /> Disposal fX <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed natural drainage <br /> Private Storm Onsite Retention Porti(*) O Natural Drmnage/No Change 67 other ❑ <br /> Drainage❑ <br /> : EierNt>o� IH�ttttel Galt <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Propane tank on site <br /> • }'etepltprwt �efvtof .: °n ,`` Cebt►TS�tvtes <br /> service Provider Distance to Service Service Provider Distance to <br /> Service <br /> N/A <br /> school Sr, Fire Protection Sorvice <br /> Service Provider s Distance to Elam Service Provider Distance to Fire <br /> School Station <br /> Linden 6 mile Linden Fire Dept. 6 miles <br /> Xo <br /> q No114i <br /> Road/S"at Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Milton Road 60 foot 24 feet Yes No 1C) vee ❑ Nota <br /> Yes❑ No❑ Vee❑ No❑ <br /> Roads <br /> Roed/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Private drives 25 feet gravel yes No10 Yes C1 No Q1 <br /> Yes❑ No❑ Yea❑ No❑ <br /> -3- <br />