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APPLICATION- MINOR SUBDIVISION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT PROPOSED FARCEI S Parcel Number Existing or Proposed Use of Parcel Square Footage 11 __ ! or Acreage I - 1 1Q 20 E C IPtL T l L p !.D 1Q . �o A-C I NEL i r I AC Z I 2ET-F_NT[O P NO -Z , , A c : ,::..:.SATE IINPRQ�fE3GlEi1kT.�"aNQSERULCF_S' ...,.:.: Lp lic Water Service Provider Annex-Formation Distance to Public Water isting C3Required (Feet) posed la t=nt,t►v T�{ S QZQ I C E A,e-E k 3 i L4 N 1N E X Private Water❑ Existing Welt ❑ New Well ❑ Well Replacement ❑ D sowac PfEx)!i*sa*ng e Service Provider Annex-Formation Distance to Public Sewer Required Facility rv-r-Y A NN E--y- A 0 J On-site Sewage I Existing Septic System ❑ New Septic System ❑ Other ❑ Disoosal C ... Stomt:Drama a , I Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Pends Drainage Required to: Existing❑ I Proposed 51 1 C o r A N r-y !STEM yFS - ON SI.TLr Private Storm I Cn-site Retention Pond(s) Natural DrainagelNo Change ❑ Other ❑ ! Ormnace jE:ec:ricdv :.. Naturai-Gas Service Provider I Distance to Service I Service Provider I Distance to Service PG t I AD Telephone Service Cable Television Service Service Provider I Distance to Service I Service Provider I Distance to Service 4 r_> SCaool Service Fire Protection SerAce Service Provider I Distance to=tem Service Provider I Distance to Fire Station School J=� r L,4 N r F i r o F Existing Roads_ i RoaelStreet`Jame ! R.O.W.Width I Pavement'Nioth Curb/Gutter I Sidewalks F i T I 0 ' I �— I Yesrk! o Z I Yes❑ No� I 20 G + I Yes C Nope I Yes❑ Nom Proposed Roads: I RcaclStre-_t Name R.O.W.'Mdth I pavement'Ndth I CurblGurer Sidewalks A N EP_ S T EXT IyrJy , I I Yes Na Yes a No yr Yes C No Z I res No