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APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ FILE NO- 7R- <br /> 4 'jF�Ra <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 <br /> Disposal ❑ Required Sewer Facility <br /> On-site <br /> Sewage Disposal ❑ Existing Septic System ❑ New Septic System Q^ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Service Provider Required Drainage to: Retention Ponds <br /> Drainage El <br /> =PrivateStorm Drainage[2d 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 /> C y- <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> t:5-6c, � S�rte, <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider Station <br /> A) <br /> Existing <br /> "off <br /> Existing Roads <br /> j Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> F:\DEVSVS\Planning Application Forms2ONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.6-02-04) <br />