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APPLICATION - MINO =DE!YLTMERNT�DMART9ME�NT <br /> SAN JOAQUIN COUNTY COMMUNITYFILE <br /> Existing Land Uses <br /> [OnNSouth: <br /> he West: — S <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider Required Water Feet <br /> Existing❑ <br /> Propos ❑ <br /> Private WaterV Existing Well New Well Well Replacement <br /> Sewage Disposal <br /> Public Sewa a Disposal Annex-Formation Distance to Public <br /> 9 W Service Provider Re uired Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage DisposalExisting Septic System New Septic System Other <br /> Storm Drainage <br /> Public Storm DrainageService Provider Annex-Formation Terminal Detention <br /> Existing❑ Re uired Draina a to: Retention Ponds <br /> Pro osed❑ <br /> Private Storm Drainage' On-site Retention Ponds Natural Drainage/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider <br /> Service <br /> F OEVSVS Panning Application Fo l;VA=Sut ivisbn(Rev.120}0/) Page 4 of 9 <br />