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a <br /> ' aq�44it(y, <br /> APPLICATION - ZONE RECLASSIFICATION <br /> .'s SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .p <br /> FILE NO: ZR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> ffftblic)Watar❑ Service Provider Annex Formation <br /> E-7Re aired <br /> i Private Water❑ ExistingWell ❑ New Well Q Well Re lacetjen <br /> Sewage Disposal <br /> Public Sewage <br /> Annex-Formation <br /> 9 Service Provider Re uired <br /> Disposal El <br /> On-site Sewage Dispo-sain DisposalExisting Septic System New Septic System ✓ Other <br /> Storm Drainage <br /> Annex FormationFDrainage <br /> inal Detention- <br /> Public Storm Service Provider Re uired to: Retention Ponds <br /> Drainage <br /> Private Storm Drainage F1 On-site Retention Ponds ✓ Natural Drainage/No Chane rl Other <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Pacific Gas&Electric At site frontage Pacific Gas&Electric N.A. <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> AT&T At site frontage N.A. <br /> SchooliService Fire Protection,Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider <br /> Station <br /> Tracy Unified 3 Miles Tracy Rural 3 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Valpico Road 55 Feet 24 Feet Yes No ✓ Yes No❑✓ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:IDEVSVS1P1ann1ng Application FormsIZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.05-11-09) <br />