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y...• 'T .�\� APPLICATION - <br /> f NOR SUBDIVISION <br /> MI <br /> Y. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> F�P FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): IZ,.- " l //e ✓t <br /> Uses to the North: <br /> Qe� , <br /> C e_ <br /> PROPOSEDPARCELSParcel Number Existing or Proposed Use of Parcel <br /> Square Footage or Acreage <br /> 1� <br /> — �7 a4� 62os <br /> V� G4 'T ©T <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation <br /> Existing F1Re uired Distance to Public <br /> Proposed EJ Water Feet <br /> Private Wa#er Existin Well �... <br /> New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Disposal Service Provider Annex-Formation Distance to Pu <br /> Existing❑ <br /> Proposed❑ Re uired Sewer Facili blic <br /> On-site Sewage Dis osalqL_ Existing Septic Sy stem <br /> ®.. New Septic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Drainage Service Provider Annex-Formation Terminal <br /> Existing[:] Re uired Detention- <br /> Proposed❑ Draina a to: Retention Ponds <br /> Private Storm Draina a I On-site Retention Pond s <br /> ❑ Natural Draina a/No Chan a Other ❑ <br /> Electricity <br /> Natural Gas <br /> Service Provider Distance to <br /> Service Service Provider Distance to <br /> Service <br /> F;0EVSVS1P1annin9 Application FormsWinor Subdivision(Rev.12-09-04) Page 4 of 9 ` <br /> 9 'r <br /> i <br />