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z , <br /> ti <br /> a <br /> APPLICATION - REVERSION OF ACREAGE <br /> z•: .Z <br /> =� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . •.- FILE NO: RA- <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1. Vineyard 444 +/— ac <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> s Public Water Service Provider Required Water Feet <br /> l Proposed❑ <br /> Existin ❑ <br /> PrivateWater[X= Existing Well ® New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facili <br /> Proposed❑ <br /> Existi Eq❑ <br /> On-site Sewage <br /> Disposal� Existing Se tic System ZI New Se tic S stem ❑ Other ❑ <br /> Storm Drainage. <br /> Public Starm <br /> j Drainage Service Provider(if Public) Annex-Formation Terminal Drainage to: Detention-Retention <br /> Proposed❑ Required Ponds <br /> a <br /> Existing❑ <br /> r Private Storm <br /> Draina eIX. On-site Retention Ponds ❑ Natural Drainage/No Chane 7 Other ❑ <br /> San Joaquin Area Flood Control Agency(SFAFCA Assessment District 0 Yes I& No <br />' F:\DEVSVC\Planning Application Forms\ Page 3 of 5 <br /> Reversion of Acreage.doc(Revised 6-3,04) <br />