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p4ulN APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> oq<)koa'r FILE NO: ZR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Yes <br /> Private Water Z Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Service Provider Re uired Sewer Facility <br /> Disposal ❑ <br /> On-site Sewage Dis osal ® Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Drainage Service Provider Required Drainage to: Retention Ponds <br /> Existing❑ <br /> Proposed ❑ <br /> Private Storm Drainage Z On-site Retention Ponds Z Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> P.G.&E. Adjacent N/A <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> ATT Adjacent N/A <br /> School Service Fire Protection Service <br /> Distance to Elem. <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified Sch. District 10 Miles Collegeville 4 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Jack Tone Road 80' 26' Yes ❑ No Z Yes ❑ No Z <br /> State Highway 4 80' 32' Yes ❑ No Z Yes ❑ No Z <br /> F:OEVSVSIPlanning Application Foans2ONE RECLASSIFICATION <br /> (Rev.4.25-05) Page 3 of 5 <br />