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�A�`" APPLICATION - USE PERMIT <br /> c ? SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �' ." FILE NUMBER: UP- <br /> �/POEN\ <br /> BUILDINGS AND STRUCTURES <br /> Structure This information ma be shown on the Site Plan <br /> NumberProposea,14se" Ground Floor Area Highest Floor Overall Height(in feet) <br /> 1 <br /> NOD1c)g� sQ =r to <br /> 0 / <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, state the <br /> number of units in each structure. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Off-Street Parking <br /> M <br /> Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> S aces Number S aces Number S aces Number S aces Number NumberLandscaping <br /> Percent of Project Street Trees Street Trees Method of IrrigationArea Landsca ed T e Number <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed ❑ Re uired Water Feet <br /> Existing E] ALL, <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed O <br /> Existing <br /> On-site Sew ge <br /> Dis osa Existin2 Septic System New Septic System Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Dralnage Service Provider(if public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Re uired to: Ponds <br /> Existing ❑ <br /> PrivateSt <br /> Draina a On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> f� C- ZcGI- <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> FADEISVM\ anning Application Fo" Wse Permit(Revised 02-03-10) Page 3 of 9 <br />