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APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...�q _.... ., �r. FILE NO: ZR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> rPubq1icWaterj4 Ann tion Distance to Public <br /> Service Provider Re uired Water Feet <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Se wa e Service Provider Required Sewer Facility <br /> Disposal cn <br /> On-site Sewage Disposal❑ Existing Septic S stem ❑ New Septic System ❑ Other E] <br /> Storm Drainage <br /> Ann tion Terminal Detention- <br /> Public Storm Service Provider Re uired Drains a to: Retention Ponds <br /> Drainage <br /> '5;a AeX54t- <br /> Private Storm Drainage ❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> -7 <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> AT F_" <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider <br /> Station <br /> U I :FAL <br /> Existing Roads <br /> Road/Street ://Street Name R.O.W/..Width PavementWidth Curb//Gutter Sidewalks <br /> �- tom ) <br /> ' j t 2 l Yes L No,❑_,/ Yes ❑ No [yJ <br /> NGS — f Yes El No tld Yes E] No ad <br /> FADEVSVS%PIanning Applicadon FonnsIZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.05-11-09) <br />