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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> /� tP 2, f� <br /> 2 � <br /> SITE IMPROVEMENTS AND SERVICES <br /> water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water (Feet) <br /> Proposed❑ <br /> Private Watery Existing Well 2r— New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Existing Septic System 'A New Septic System ❑ Other ❑ <br /> Disposaio, <br /> Storm Drainage <br /> Public Storm Serv' Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage / Required to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ / <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change 'U Other ❑ <br /> Drainage ❑ <br /> Electricity . Natural ":as <br /> Service Provider Distance to Service o,.,_. __ Distance to <br /> Service <br /> Tele hone Service Cable Television. 5e <br /> EX <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> 4222 _71�f <br /> t ,L <br /> Stalooi!setViCe> para Proiecttan svre <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Extiting Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> pp�� <br /> Yes❑ Nob Yes❑ No <br /> Yes❑ No❑ Yes ❑ No❑ <br /> Proposed Roads <br /> Road/Street'Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yea❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />