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0.4UIN APPLICATION MINOR SUBDIVISION <br /> 2= .y <br /> :< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> '9C%FOitN <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): R O IZAL CAY-1 LJ L-- UV-f-_ <br /> Uses to the North: A ej GoLTU Pf-- <br /> Uses to the East: 1. 12 t C L, <br /> Uses to the South: X(-- ,v L V Q��- <br /> Uses to the West: l) <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> �C-�f✓1�ULTi7�-� �tJTI�t- 40 ACR-16 <br /> R-1 Co t,Tv V_ S_ DE►�l A A refs <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-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing ❑ <br /> Proposed❑ <br /> On-site Sewage Dis osal Existing Septic System New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm Draina e On-site Retention Ponds ❑ Natural Drainage/No Chane Iff Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> + C__ po�acErrt- p1ZoPA>,.1� c)t.1--,t <br /> F:\DEVSVS\Planning Application Forms\Minor Subdivision(Rev.12-09-04) Page 4 of 9 <br />