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APPLICATION- SITE APPROVAL
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Structure Number' Proposed Use Ground Floor Area Highest Floor Overall Height(in
<br /> feet
<br /> No Structures
<br /> The"structure number'should be used In identifying the structure on the Site Plan.
<br /> If there are two or more proposed uses in a building,make separate listings for each use. For residential projects,slate the number of
<br /> units in each structure.
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<br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation
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<br /> Drip
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> R uired Water Feet
<br /> Proposed❑
<br /> Existing❑
<br /> On site well
<br /> Existing Well� New Well ❑
<br /> Well Replacement
<br /> Private Watery �
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<br /> Public Sewage Service Provider
<br /> Annex-Formation Distance to Public
<br /> Required Sewer Facility
<br /> Oisposal
<br /> Proposed❑
<br /> Existing On site septic -tank
<br /> On-site Sewagg Existing Septic SYstem Ey New Septic System ❑ Other II
<br /> Disposal❑ « <w$Azv`g7=`
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<br /> Public Storm Service Provider(if Public? Annex-Formation Terminal Drainage Detention-
<br /> Drainage
<br /> R wired to: Retention Ponds
<br /> Proposed❑
<br /> Existing❑
<br /> Private Storm On-site Retention Ponds) ❑ Natural Drainage(No Changed Other ❑
<br /> F—Orainage❑
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<br /> Service Provider Distance to Service Service Provider Distance to service
<br /> PG&E 100 feet Pacific Bell 200 feet
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<br /> Distance to Elem Service Provider Distance to Fire
<br /> Service Provider Statlan
<br /> School
<br /> Tracy Rural Fire 3 miles"
<br /> None
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<br /> Road/Street Name R.O.W.Width Pavement dth CurblGutter sidewalks
<br /> Name
<br /> Wi
<br /> Banta Road 2 Lanes 2 Lanes
<br /> Yea!] No10 Yes❑ No 0[
<br /> Yes❑ No❑ Yes❑ No❑
<br /> ' =. 3 -3-
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