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f <br /> APPLICATION- MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNMY DEVELOPMENT DEPARTMENT <br /> ....... <br /> PR0P0SEI7:PARCE1'S <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage <br /> or Acreage <br /> v <br /> �TEIMPRQVEMEIVTS RND>SERVICES <br /> Water.... ... . <br /> Public Water Service Provider Annex-Formation Distance to.Public Water <br /> Existing❑ Required (Feet) <br /> Proposed❑ <br /> Private Water Existing Well New Well Well Replacement ❑ <br /> pis...saE .... :_:: <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Disposal R wired Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sew ge Existing Septic System ❑ New Septic System Other ❑ <br /> Oisoosal <br /> I <br /> Storrn:Draina r <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-Retention Ponds <br /> Drainage Required to: <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm I On-site Retention Pond(s) ❑ Natural DrainagelNo Change ffi Other ❑ <br /> Orainaoe C <br /> Electriccty Natural Gas <br /> I <br /> iService Provider Distance to Service Service Provider Distance to Service <br /> .. . . <br /> Telephone Service - -Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> i <br /> ate- fie/ -S/ <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> // School <br /> m.'Ies <br /> F-xfsting Roads <br /> Road/Street Name I R.O.W.'Ndth Pavement Width I Curb/Gutter ( Sidewalks <br /> RJ /1P0 <br /> I I Yes❑ No; I Yes❑ No� <br /> Yes❑ No a Yes C No G I <br /> Pr000sed Roads <br /> i <br /> Road/Street Name I R.O.W.Width I Pavement Width CurblGutter I Sidewalks <br /> Yes C No❑ Yes C No❑ I <br /> �jYes 0 No G I Yes❑ No❑ <br />