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APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> 'Ir d �L. 5 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required Feet <br /> Proposed❑ A/ <br /> /v <br /> Private Water Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sews a Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal Required Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewag4 Existing Septic System ❑ New Septic System iB� Other a / <br /> Disposal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural DrainagelNo Change Other ❑ <br /> Drainage <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> �• U. ��' OAU �/�� <br /> Telephone Service Cable Television Service <br /> Ser/vice Provider Distance to Service Service Provider Distance to Service <br /> 04 <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> /Qi�a�✓ t�iTi��� �GYI� l�IP,Q.�'I Five �`o���/a�, /•Sal i <br /> - E istinq Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> —2.C) Yes❑ No(9� Yes❑ No A"� <br /> Yes❑ Nom- Yes❑ NoAI_� <br /> Proposed Roads <br /> RoadlStreet Name R.O.W.Width Pavement Width CurbiGutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes 0 No 0 Yes 0 No 0 <br />