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°pq"tN APPLICATION - ZO► ; RECLASSIFICATION <br /> 2: y <br /> a <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR-__ <br /> SITE IMPROVEMENTS AND SERVICES ' <br /> =Water <br /> Water <br /> Service Provider Annex Formation Distance to Public <br /> Re uired Water Feet <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Pub7Sewa(rueService Provider Annex-Formation Distance to Public <br /> Di [ Required Sewer Facility <br /> v�a S fh.c� <br /> On-site Sewa a Disposal❑ xisting Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public StormServiAnnex-Formation Terminal Detention- <br /> Drainage ce Provider Required Draina a to: Retention Ponds <br /> ❑ <br /> Private Storm Draina e❑ On-site Retention Ponds ❑ Natural Draina e/No Chane ❑ Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider <br /> Distance to Service <br /> FTelephone Service Cable Television Service <br /> :7 <br /> Service Provider Distance to Service Service Provider <br /> Sg c, Distance to Service <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem. Distance to Fire <br /> School Service ProviUeN <br /> Station <br /> S� 9 � t3�-tom►�- 5� tt� <br /> Existing Roads <br /> Road/Street Name ERZEWE.Width Pavement Width Sidewalks <br /> Yes❑ No <br /> Yes❑ No ❑ <br /> F\DEVSVS\Planning Application Forms\ZONE RECLASSIFICATION <br /> (Rev R_m_nc, Page 3 of 5 <br />