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APPLICATION - MINOR SUBDIVISION <br /> f SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :< <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Aq Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <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 /> Private Water Existing Well New Well 0 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 Disposal)Ef Existing Septic System New Septic System Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Draina e to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> ON i <br /> Private Storm Draina a 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 0EVSVS\PIann ng Application Forrns%illnor Subdivision(Rev.12-09.04) Page 4 of 9 <br />