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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 /> C-01 /OG <br /> Z J v <br /> 3 � <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public Water <br /> Existing❑ Required Feeli <br /> Proposed❑ <br /> Private Water Existing Well New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal <br /> Required Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Se wa a Existing Septic System ❑ New Septic System Other ❑ <br /> Dis osa <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Re uired to: <br /> Existing❑ <br /> Proposed O <br /> Private Storm On-site Retention Pond(s Natural Drainage/No Change ❑ Other ❑ <br /> Drainage f l <br /> Electricitv =NNatural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> ze: <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Service Provider Distance ttElem Service Provider Distance to Fire Station <br /> Scho <br /> /Mozl ml <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No/K Yes❑ NoX <br /> S - <br /> Yes❑ No O Yes❑ No❑ <br /> Pro osed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />