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F'pFVSVS\Planning Application ForrnsS Minor Subdivision (Rev. 12-09-04) Page 2 of 5 2010-34 MS.doc <br />{I <br />\. ln :ot <br />APPLICATION - MINOR SUBDIVISION <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />FILE NO: MS- <br />Existin Lana Uses ` _ . . <br />9 <br />On-Site Uses Include Aq Crops): <br />Almond Orchard and Row Crops w/Residence <br />Uses to the North: <br />Agriculture w/Residence <br />Uses to the East: <br />Agriculture w/Residence <br />Uses to the South: <br />Agriculture w/Residence <br />Uses to the West: <br />Agriculture w/Residence <br />-PROPOSED': PARC,E_LS <br />Parcel Number <br />Existing or Proposed Use of Parcel Square Footage or Acreage <br />1 <br />Existing Residence 2.30 AC <br />2 <br />Agriculture 46.36 AC <br />SITE:IMPROVEMENTS AND SERVICES <br />Water <br />Public Water <br />Existing ❑ <br />Service Provider <br />Annex-Formation <br />Required <br />Distance to Public <br />Water (Feet) <br />Proposed ❑ <br />Private Water ® Existing Well ® New Well E]Well Replacement ❑ <br />Sgviiage Disposal <br />Public Sewage Disposal <br />Existing ❑ <br />Pro osed ❑ <br />Service Provider <br />Annex-Formation <br />Required <br />Distance to Public <br />Sewer Facility <br />On-site Sewage Disposal ® <br />Existing Septic System ® New Septic System ❑ Other ❑ <br />Storm ©ratnage <br />Public Storm Drainage <br />Existing ❑ <br />Proposed ❑ <br />Service Provider <br />Annex-Formation Terminal Detention- <br />Re uired Drainage to: Retention Ponds <br />Private Storm Drainage ® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br />Electricity:., <br />-Natural Gas <br />Service Provider <br />Distance to Service Service Provider Distance to Service <br />PG & E <br />Existing On-site Propane Existing <br />F'pFVSVS\Planning Application ForrnsS Minor Subdivision (Rev. 12-09-04) Page 2 of 5 2010-34 MS.doc <br />