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APPLICATION — ZONE RECLASSIFICATION <br /> { SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR-_ <br /> �rFOfZa <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> C5v- -3c LS n�!t s�L,witi�� <br /> Private Waterig Existing Well U91, New Well ❑ Well Replacement ❑ <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 S stem Other ❑ <br /> Storm Drainage <br /> Annex-Formation Terminal Detention- <br /> Public Storm Service Provider Required Drainage to; Retention Ponds <br /> Drainage❑ <br /> ?. L53t. l� C� arctic i, 6✓a�la��gr <br /> Private Storm Drainage On-site Retention Pond(s) Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity I Natural Gas <br /> Service Provider ! Distance to Service Service Provider I Distance to Service ' <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> A TF I r-j a 4- -f N <br /> School Service Fire Protection Service <br /> Distance to Elem. Distance to Fire <br /> / Service Provider School Service Provider Station <br /> v <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ NoE Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> FaDEVSVSIPlanning Applicalion Fonls\ZONE RECLASSIFICATION Page 3 of 5 <br /> (Rev.05-11-09) <br />