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APPLICATION - MINOR SUBDIVISION <br /> .s SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> /FD <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): Rural Residential <br /> Uses to the North: Rural Residential <br /> Uses to the East: Rural Residential/Agriculture(Crops) <br /> Uses to the South: Rural Residential/Agriculture(Crops) <br /> Uses to the West: Rural Residential/Agriculture(Crops) <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> 1 Proposed Homesite 2.1 Acreage <br /> 2 <br /> Proposed Homesite 2.2 Acreage <br /> 3 Proposed Homesite 2.2 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 ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Form'aiti-o-n-F Distance to Public <br /> Public Sewage Disposal Service Provider Required I Sewer Facility <br /> Existing ❑ <br /> Proposed❑ <br /> On-site Sewage Disposal® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Re uired Drainage to: Retention Ponds <br /> Existing❑ <br /> Proposed ❑ <br /> Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Draina a/No Chane ® Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> P.G.&E. Adjacent P.G.&E. Adjacent <br /> F'\DEVSVS\Planning Application FormsWinor Subdivision(Rev.05-11-09) Page 4 of 9 <br />