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APPLICATION- MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Existing❑ Required Water (Feet)
<br /> Proposed❑
<br /> Private Water Existing Well New Well ❑ Well Replacement ❑
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<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 New Septic System Other ❑
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<br /> Public Storm Service 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 Other ❑
<br /> Drainage❑
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<br /> Service Provider Distance to Service Service Provider Distance to,
<br /> Service
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
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