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Oct 15 03 O9: 25a San 'Oaquin County 468 '7
<br /> p. 4
<br /> APPLICATION - ZONE RECLASSIFICATION
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> ..jar ,• .,y Y)'i:SXel rI-i IN
<br /> Service Provider Annex-Formation Distance to Public
<br /> Public Water El Required Wafer(Feet)
<br /> Private WalerX Existing Well �( New Well 0 Well Replacement 0
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<br /> Wspos�l,��f� ,.yr,Ck•�
<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
<br /> C✓1 a v
<br /> On-site Sewage Existing Septic Sysfamx New Septic System O Other ❑
<br /> Disposal)( p p
<br /> q, NAIR
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<br /> Public Storm Service Provider(itPublic) Annex-Formation Terminal Drainage Detention-
<br /> Drainage❑ Required to: Retention Ponds
<br /> Private Storm On-silo Retention Pond(s) 0 Natural Drainage/No Change 0 Other 0
<br /> Drainage❑
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<br /> Service
<br /> r' 'Y'•f r Elec If �""'i ��+ �jl kr�[ l At 1 '
<br /> Service provider Distance to Service Provider Distance to
<br /> Service ' /Service
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<br /> ,i,y. n �fts,` t,I.,w ; rys�;':? �-.,!;Fire,ProtecgonSsn!inii`;;:.,ri�.`t!,�''�4
<br /> Service Provider Distance to Clem Service Provider Distance to Fire
<br /> School station
<br /> Loi ori ied
<br /> k1 vI` M+c vfitt''4"i 4A'g�lb' M)
<br /> '.;,U' tii-'M:- S;nh^71"k[{`1J�,;f;Fc,r}Y7Wi}!y 1�fl Erlsfltll7 Roads i p`�.;f ri I{ ,,.•�t, N !�y., FY�r�ry,,tt �;�' rt it✓dl:lv�:
<br /> Read,'SImet Name R.O.W. Moth Pavement Width Curb/Gutler Sidewalks
<br /> l T /
<br /> yes❑ N0x Yes❑ No!.K{
<br /> Ho /it f L U / Yes 0 Nox Yes 0 Nox
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