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O RgUIry C <br /> APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �•, .„ ;.P FILE NO: ZR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> ,. ,/ Water <br /> Public Water tl� Annex-Formation Distance to Public <br /> Service Provider Required Water Feet <br /> �'Zcl<rlui e cee- �n Sri <br /> Private Water❑ L Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewag Service Provider Required Sewer Facility <br /> Disposal <br /> GClotbl b t^td S'rk- <br /> On-site Sewa a Disposal ❑ Existing Septic System ❑ New Se tic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation TerminalDetention <br /> Public Storm Service Provider Required Drainage to: Retention Ponds <br /> Drainage❑ GL�Cb�/ (�S! <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 /> cy�I E' On S I-)-e— <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> 101 CIA"ear �'n 5`r F <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider <br /> Station <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> ,1 Witm e • �J f/tD � Yes R'No*' Yes—0 No El✓NGOQ-kJ1 Y d yJ� � Yes(�No E] Yes E3/No❑ <br /> FMEMS\Planning Application FOnnstZONE RECLASSIFICATION Page a of 6 <br /> (Rev.95-11-09) <br />