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APPLICATION - ZONE RECLASSIFICATION <br /> [•h��`IP' SAN JOAQUIN 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 Existin Well ❑ New Well Rr_ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex Formation Distance to Public <br /> ffDI <br /> e Service Provider Required Sewer Facili <br /> On-site Sewage Disposal Existing Septic System ❑ New Septic System Other ❑ <br /> Storm Drainage <br /> Annex-FormationTerminal Detention- <br /> Public Storm Service Provider Required Drains a to: Retention Ponds <br /> Drainage❑ tjA <br /> Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drains e/No Chane Fr Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PCS ON P• ON-5/7-6 <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> H and v lOvsGtu 1� 00MCf1ST pu-SITS <br /> PHO E OV fDF.2 N S <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider I School Service Provider I Station <br /> 1341,rAcTAACy Utit/F/EO ya mii-E I Tr->4Cy RvP.RL- I VOL mli-E <br /> Existing Roads <br /> Road/StreetName R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> &)e"-r LIhfE )e0m) 0 / Yes❑ No 9 Yes Q No a' <br /> Yes❑ No❑ Yes❑ No❑ <br /> FMEVSVSVIanning Application FonnsIZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.05-11.09) <br />