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ut�y,• <br /> r-..� .. APPLICATION - ZOl ___ RECLASSIFICATION <br /> SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <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 <br /> Annex-Formation Distance to Public <br /> Public Sewage Service Provider Required Sevier Facility <br /> Disposal❑ <br /> Un site Sewa a Dis osal® Existing Septic System ® New Septic System ❑ Other ❑ l <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Service Provider Required Drainage to: Retention Ponds <br /> Drainage❑ <br /> Private Storm Drainaqe Q On-site Retention Pond(s) ❑ Natural drainagelNo Change © ,,her ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> P.G.&E. Ad scent P.G.&E. Ad acent <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Seryice <br /> AT&T I Adjacent NIA Adjacent <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider Station <br /> Lodi Unified 1,3 Miles Lirden—Peters 6.8 Miles <br /> Existing Roads <br /> Road;Slreet Name R.O.W.Width Pavemen(Width Curb/Gutter Sidewalks <br /> Tokay Colony Road 45' 20' Yes❑ No Yes❑ No �] <br /> Yes❑ No❑ I Yes❑ Ko C j <br /> F1 EMSTIanninn Appl:caban Forrns',ZONE RECLASSIF'CA71ON Page 3 of 5 <br /> (Rev.0&11-09) <br />