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ul <br /> '°P- APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water___ <br /> Annex-Formation Distance to Public <br /> Public Water 1-1 Service Provider _ Required Water Feet <br /> Private Water® Existin Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Service Provider Required Sewer Fac lit <br /> Disposal <br /> On-site Sewa a Dis sal❑D Existin Se tic S stem ® New Septic System ❑ OtherL ❑ <br /> Storm Drainage <br /> 2Annex-Formation Terminal Detention- <br /> Public Storm Service Provider Required Drainage to: Retention Ponds <br /> Drainage❑ <br /> I <br /> Private Storm Drainage❑ On-site Retention Ponds Natural Drainage/No Change Other ❑ <br /> Electricit Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PG&E _ <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Verizon N/A <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider <br /> Station <br /> ro Manteca <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 20270 S. Route 99 Yes El NAI Yes NoE <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:\DEVSVS\Planning Application Forms\ZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.6-02-04) <br />