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APPLICATION — ZONE RECLASSIFICATION <br /> :Z <br /> 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❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Service Provider Required Sewer Facility <br /> Disposal[t� <br /> On-site Sewage Disposal❑ Existing Septic System ❑ New Se ptic System ❑ Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Sto Service Provider Required Drainage to: Retention Ponds <br /> Drainage � _ <br /> Private Storm Drainage❑ 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 /> r,� <br /> I� Eln s i' 0eelTieh <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> On 544e_ <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> LService Provider School Service Provider l Station <br /> dtr a.S �� �(�Dt rl� i ,0. lC ur -c <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes[v]"No Yes� No❑ <br /> t'!7 Yes ENo❑ Yes[/No 16:1i <br /> F:IDEVSVS1PIanning Application Forms\ZONE RECLASSIFICATION Page 4 of 6 <br /> (Rev.05-11-09) <br />