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f <br /> pQu'N APPLICATION - MINOR SUBDIVISION <br /> e' /I\ .` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �� FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses Include Ag Crops): <br /> Agriculture <br /> Uses to the North: <br /> Agriculture <br /> Uses to the East: <br /> Agriculture <br /> Uses to the South: <br /> Agriculture <br /> Uses to the West: <br /> Agriculture <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> I - Agriculture 20.60 ac.gross <br /> 2 Agriculture 20.60 ac.gross <br /> 3 Agriculture 20.60 ac.gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> i Annex Formation Distance to Public <br /> Public Water Service Provider <br /> Existing ❑ Required Water Feet <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 Disposal ® Existing Septic System ❑ New Septic System ® Other ❑ <br /> Storm Drainage <br /> Public Storm Drainage Annex-Formation Terminal Detention- <br /> Existing F1Service Provider Required Drainage to: Retention Ponds <br /> Proposed ❑ <br /> Private Storm Drainage® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PG&E Existing NIA <br /> F OEVSVSWP anning Application Forms%Minor Subdivision(Rev. 12-09-04) Page 2 of 5 2009-36 Minor Subdivision.doe <br />