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APPLICATION — ZO[ RECLASSIFICAT10N <br /> y <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . '. PILE NO: ZR- <br /> k'si:4rs�` {_;v" ^� ea., t'. ,4. t nR�_ .' 4" h, �A:. i!' -f i r r�"7f`+�- ,•x2 ' e..,.�§� ��- <br /> Annex Formation bistance to Public <br /> Publlc Water Q <br /> Service Provider .Re, uire'd _. 1Nater. feet ... <br /> Private Water❑ Existing Well-. New;Well Well:Re lacement ❑ , <br /> a ��.,_ 1 F:j.,�,"� ':,`:tT�r '�:;«�� a'�r;�rvn yr :;aF�t.:w+€ •,`Y � -' "" a�°s� I.�Fr;" "�. �.,I-y+.� ;, �a.:'sxYf.>�`�`: '°'�+. - .. �%r;rY�F:•.�� �Ca y�:,,� r,�-. ..--�;.x �5�`rAr iy,�y�Yi;',itis: <br /> Annex=Forrhation Wtarice to Putil'ic <br /> Public'Sewage Service Provider Rewired Sewer Facili <br /> DisposalF. [] <br /> _F.On-site Sewage bis sai'❑ _.Ex1'9tIng Se tic.S. stem ❑ New Septic.S stem 10 Other ❑ <br /> Annex-Formation Terminal Detention <br /> Public Storm Service Provider Required Drainage to: Retention Ponds <br /> Drainage❑ <br /> [Private Storm Drainage❑ On-site Retention Ponds Natural Drainage/No Chane ❑ Other ❑ <br /> E1eEricity F Nataral Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> P� oma ' 1 <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> S0001 Seance. Fire Protectian.;Seivice' <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider Station <br /> fn uQAAA, <br /> .. ", Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> W ef -FA,54,A-6 3 p r r� r Yes ❑ No Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:IIJEVSV&PIanning Application Forms1ZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.6-02-04) <br />