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°Pa�tN. APPLICATION - MINOR SUBDIVISION <br /> Q. SAN JOAQUIN COUNTY COMMUNITY DEVELOPME <br /> FILE NO: MS- <br /> Existing Lan(I Uses <br /> On-Site Uses Include Ag Crops): 25 !j <br /> v <br /> 5 6,. ' t ,,,d s <br /> Uses to the North: i s o Q t Co u <br /> Uses to the East: ,j QW_P_K TO 45 <br /> Uses to the South: <br /> Uses to the West: <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> a o s 7. 1 <br /> -u t .e s <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing ❑ <br /> Proposed ❑ PV '��its dF <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing❑ 1/ <br /> Proposed❑ AJO iV f "yae-V r ca <br /> On-site Sewage Disposal❑ Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ UA)6 <br /> Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> F\DEVSVS\Planning Application Forms\Minor Subdivision(Rev. 12-09-04) Page 4 of 9 <br />