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APPLICATION - ZONE RECLASSIFICATION <br /> ry� <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> SITE IMPRQVEMENTAAND SERVICES <br /> Watei <br /> Annex-Formation Distance to Public <br /> Public Water❑ Service Provider Required Water Feet <br /> N/A <br /> Private Water® Existin Well ❑ New Well ® Well Replacement ❑ <br /> Sewage[lsposa� <br /> Annex-Formation Distance to Public <br /> Public Sewage Service Provider Required Sewer Facility <br /> Disposal❑ <br /> N/A <br /> On-site Sewa a Dis osal ® Existin Se tic S stem ❑ New Se tic System ® Other ❑ <br /> Service Provider g <br /> Ann <br /> Re-Form <br /> u red tion Drains Terminal <br /> e to: Re tent on Po <br /> Public Storm Storm brain e <br /> Ponds <br /> Drainage❑ <br /> N/A <br /> Private Storm Drainage® On-site Retention Pond s ® Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service <br /> Service Provider Distance to Service <br /> NIA <br /> P.G.&E. <br /> Ad'acent N/A <br /> Telephone Service_ Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> AT&T Adjacent N/A N/A <br /> School Service Fire Protection Service' <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider Station <br /> Lodi Unified School District <br /> 5 Miles Woodbrid e 2 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Peltier Road <br /> 60' 24' Yes ❑ No® Yes❑ No <br /> N. 99 Frontage Road <br /> 56' 24' Yes ❑ No® Yes❑ No <br /> F:\DEVSVS\Planning Applicaticn Forms\ZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.05-11-09) <br />