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APPLICATION - ZO RECLASSIFICATION <br /> 2' <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Flt F NO: ZR- _ <br /> �dtiFOR��P <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water — <br /> Annex-Formation Distance to Public <br /> Public Water[� Service Provider - _ - Required Water Feet <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal t _ <br /> Annex-Formation Distance to Public <br /> Public Sewa Service Provider Required Sewer Facility <br /> Disposal[ tRr 5-)ffU�l�r`� Y� ►CY�rYL`i 5��`f�J ,�P►C.Z,. <br /> Y-V <br /> On-site Sewage Dis osal ❑ Existing Se tic S stem ❑ New Se tic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Detention- <br /> Service Provider Re uired Drainage to: Retention Ponds <br /> Drainage❑ o <br /> Private Storm Drainage❑ On Retention Pond s E] Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> C <br /> School Service Fire Protection Service <br /> Service Provider <br /> Distance to Elem. Distance to Fire <br /> School Service Provider <br /> SVS 9 Station <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Ao <br /> Yes❑ No Yes❑ No <br /> Yes❑ No❑ Yes ❑ No ❑ <br /> F:\DEVSVS\Planning Application Forms2ONE RECLASSIFICATION Page 3 of 5 <br /> !pe„ R—nw <br />