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s <br /> a�tn t <br /> °P..•_._.. APPLICATION - ZONE RECLASSIFICATION <br /> 17-. ki I J,1 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> 9CiF0Rii,\ <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 0T <br /> On site <br /> 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 /> Cwt Sr <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 /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> Service Provider School Service Provider Station <br /> «r .e,1- <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> /KyYI C JTJ � t Yes ❑` No Yes❑ No❑ <br /> d Yes❑ No❑ Yes❑ No❑ <br /> F:\DEVSVS\Planning Application Forms\ZONE RECLASSIFICATION Page 4 of 6 <br /> (Rev.05-11-09) <br />