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APPLICATION- MINOR SUBDIVISION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT :PROPOSEQ:PRRCELS. Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage i xisf/� zip /e mi/ resi�'ehce 9 70,8 SF Pro as�d �h /e rni/ ve�� ice !o/ 39 7 __F ..SrrE.IMPRC)VEMENTS'AND SERVICES UVater,<: Public Water Service Provider Annex-Formation Distance to Public Water Existing —__ Required ' (Feet) Proposed❑ ' L'ify o/' s7bc No 0 Private Water❑ \ Existin W ❑ New Well ❑ Well Replacement ❑ _ . Dis asai. .... Public Sewage Service Provide;' Annex-Formation Distance to Public Sewer Disposal Required Facility Existing{ �y 1 y' � Proposed C3L//y 4Ft��/U /!U U On-site SewageI Existin[fSeptic System ❑ New Septic System ❑ Other ❑ Disposal❑ Storm Dratna a Public Storm Service Provider- Annex-Formation Terminal Drainage I Detention Retention Ponds ting Drainage Required to: ExisL �O Proposed e C/ o fG/�-�✓) Private Storm I On-site Retention Pond(s) ❑ Natural Dninage/No Change ❑ Other ❑ Oratnace C E'ectric.ty Natural Gas i Service Provider Distance to Service Service Provider I Distance to Service G6�E d Pl�E 6 Telephone Service Cable Television Service Service Provider Cistance to Service Service Provider I Distance to Service School Service Fire Protection Service Service Provider Distance to Elem Service Provider Distance to Fire Station School GjftMlan lJ/7i f7P� � ¢ /N/, I t /�J ar/51aC/c1a�/Mv.Tf�►wM� Existing Roads �1 Roac Street`Jame R.O.W.Width I Pavement Width I Curb/Gutter I Sidewalks /3 rhr�ef 5Q I 29/ I Yes❑ No C I Yes C No L a;. I i Yes C No C. Yes C No C I Pr000sed Roads Paad/Stre•_t.Name I R.O.W.Width I Pavement Width Curb/Gutter I Sidewalks /Q�� I Yes C No C Yes C No Q I AV i I Yes;_, Nov I Yes C No G ,,