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oUrN APPLICATION -- USE PERMIT
<br /> SAN JOAQUIN COU NTY.COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE INUIIYI SER; UP
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<br /> Struc#ure 7 tai
<br /> :Number* Pro . sed Use** Ground Floor Area Nigh est;Faaar.`. Qveralt.Helght(in:feet) 5 ,
<br /> yLL
<br /> The.,.:.
<br /> * "structure number.should be used to Fide.nttfying the s..tructUra 06 the Siite,Plar'.
<br /> '*If thele tare.two orr ore proposed uses in a building, make separate listirigs,for.each use. For.reside"htial.projects;state the.
<br /> number of:units in'each structure.
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<br /> Full-size Parking Compact.Parking Handicap Parking Covered Parking~ Total^Pa'rking Parking,totTrees
<br /> Spaces Number) S aces'Number -Sbaces(Number) SDaces(Number Soaces. Number Ni,mber
<br /> _
<br /> 1C_-
<br /> 4
<br /> Landscapin� �� ,: l ti :' r °� }� �•
<br /> <w! H: ,.•:. ... ... t .. ..r.- s .,i. t ...+... '. .VT.....M1 - ..:'. .: ..I,.n..
<br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation
<br /> S care Feet Area Landscaped T e Number
<br /> Waterr
<br /> Annex-Formation Distance to Public
<br /> Public Water Service Provider Required Water(Feet).
<br /> I Proposed❑ _
<br /> Existing 52 l'—G� if Yll1(l
<br /> Priva#e Water❑ Existing Well ❑ New Weil ❑ Well Replacement ❑
<br /> Sewage Disposal.
<br /> Public Sewage Annex-Formation Distance to Public
<br /> Disposal Service Provider Required Sewer Facility
<br /> Proposed❑
<br /> Existing❑
<br /> On-site Sewage
<br /> Dis osal. Existing Septic System [6 New Septic System ❑ Other ❑
<br /> Storm Drainage.
<br /> Public Storm
<br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention
<br /> i Proposed ❑ Re uired to: Ponds
<br /> Existing ❑
<br /> Private Storm
<br /> d
<br /> Dralna a On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑
<br /> Electricity Telephone Service
<br /> I Distance to
<br /> Service Provider Service Service Provider Distance to Service
<br /> 6.
<br /> School Service Fire Protection Service
<br /> Distance to Elem
<br /> Service Provider School Service Provider Distance to Fire Station
<br /> us-0 _-_ ,S (Do T_I
<br /> F:TEVSVC1Planning Application ForrnsWse Permit.(Revised 1-2-03) Page 3 of 9
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