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APPLICATION — ZONI`.RECLASSIFICATION <br /> a` t <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distanceto Public <br /> Public Water F-1ServiceProvider Required Water Feet <br /> Private Water Existing Well New Well Well Re lacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Service Provider Required Sewer Facility <br /> Disposal❑ <br /> On-site Sewage Disposal Existing Septic System New Septic System Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Service Provider Required Drainage to: Retention Ponds <br /> Drainage❑ <br /> Private Storm Draina a On-site Retention Ponds Natural Drainage/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> � -7 D - e <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Sery a Service Provider Distance to Service <br /> F1 - S e <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School S w cc Provider r� Station <br /> O/V! A k=7 z <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> / eh C'1 Yes ❑ Nick Yes❑ No <br /> /^ SQ 2 2- Yes ❑ No IM Yes ❑ No <br /> FOEVSVSIPIanning Application FonnS1ZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.12-07-06) <br />