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Adak <br /> APPLICATION - MI OR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMEN i <br /> FILE NO: MS- <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): Row Crops <br /> Uses to the North:Agriculture <br /> Uses to the East:Agriculture II <br /> ,I <br /> Uses to the South: Agriculture <br /> Uses to the West:Agriculture <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage <br /> 1 Agriculture <br /> 47.67 ac <br /> 2 Agriculture <br /> 47.67 ac <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Annex-Formation Distance to Public <br /> Existing F1 Required Provider Re uired Water Feet <br /> Proposed ❑ <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❑ <br /> Proposed❑ <br /> On-site Sewage Disposal ® Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Drainage Annex-Formation Terminal Detention- <br /> Existing❑ <br /> Service Provider Required Drainage to: Retention Ponds <br /> Proposed❑ <br /> Private Storm Drainage® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PG&E EXISTING ON SITE PROPANE N/A <br /> F:IDEVSVS\Planning Application Forms\Minor Subdivision(Rev. 12-09-04) Page 2 of 5 2007-217 MS.doc <br />