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p4U17 APPLICATION - MINOR SUBDIVISION <br /> o . <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> L C <br /> Uses to the North: <br /> Uses tothe East: (nCkM'f <br /> Uses to the South: <br /> Uses to the West: r( I Al <br /> PROPOSEDPARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> 1-2-1 ✓w &[A <br /> L <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water /� Service Provider Required Water Feet <br /> Existing EjProposed E] <br /> Private Water Existin2 Well X 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❑ no 1i <br /> On-site Sewage Disposal Existing Septic S stem New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider <br /> [Ann= <br /> uired Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ — .� <br /> Private Storm Drainage On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider <br /> Service <br /> h okl-G <br /> F:\DEVSVS\Planning P.pplic bon Forms\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />