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.� <br /> PaU'N APPLICATION - MINOR SUBDIVISION <br /> �Ot c�G <br /> 2:' cYr—i <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> �dCIFOR�`� <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> T v .5�0 <br /> Uses to the North: <br /> ,cam, <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> eJv or <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing❑ <br /> Proposed❑ <br /> FPrivate Water-�f Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing❑ <br /> Proposed ❑ <br /> On-site Sewage Dis osal Existing Septic System ❑ New Septic S stem Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Existing F-1Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Proposed❑ <br /> Private Storm Draina e On-site Retention Ponds Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> F:\DEVSVS\Planning Application Forms\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />