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DocuSign Envelope ID: E3D5593F-5BC1-4D54-972C ID1746EA12 <br /> as" ulty. APPLICATION — ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> y 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 ❑x Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Service Provider Required Sewer Facility <br /> Disposal❑ <br /> On-site Sewaqe Disposal E___Existing Septic System New Septic System ❑x Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Service Provider Required Drainage to: Retention Ponds <br /> Drainage ❑ <br /> Private Storm Drainage® On-site Retention Ponds ❑x Natural Drainage/No Change ❑ Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PG&E On-site PG&E on-site <br /> iTelephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> At&T On-site AT&T On-site <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider Station <br /> Manteca Unified 3 miles Lathrop- Manteca 2.3 miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Frewert Road 40'&45' 22' <br /> Yes❑ No E] Yes ❑ No❑ <br /> Manthey Road 50' 34' Yes❑ No® Yes ❑ No <br /> F:\DEVSVS1Planning Application Forms\ZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.05-11-09) <br />