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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> REMinder Proposed Vineyards 213.17 Act <br /> Public Wstar Service Provider Annex-Formation Distance to Public <br /> Existing ❑ Required Water (Feet) <br /> Proposed(X N/A XXXXXXXXXXX XXXXXXXXXXX <br /> Private Water Existing Well ❑ New Well Well Replacement ❑ <br /> s <br /> Public Sewage Service Provi ler Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing¢¢ <br /> Propx»edC] EXISTING SEPTIC SYSTEM XXXXXXXXX XXXX)(X7U(XXXX <br /> On-slits Sewage Existing Septic System 10 Now Septic System ❑ Other ❑ <br /> Disposal XX <br /> kRsAffifflZ <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing Wir <br /> Pro ON SITE IIVU AM )00000(XX)(XX XXXXX7(XX00(X XXXXXXXXXXX <br /> Private Storm On ske Retention Ponds) ❑ Natural Drainape/No Change 14 Other ❑ <br /> Drainage)Q <br /> [AN 408MIN <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P.G.& E. -- P.G. & E. ON 9r <br /> Service Provider Distanoe to Service Service Provider Distance to <br /> Service <br /> Service Provider Dlstance to Elem Service Provider Distance to Fire <br /> School Station <br /> Fermi Far mi <br /> Road/Straet Nsme R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Van Allen Road 50 Yea❑ No EX Yes❑ NoX] <br /> Yee❑ No El Yes❑ No❑ <br /> g n <br /> . a<, .. 'a:G' .;d.0'r�rnnN. t<+cm1•' .< <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yee❑ No❑ <br /> Yee❑ No❑ Yes❑ No❑ <br /> .3- <br />