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APPLICATION - USE PERMIT
<br /> N / SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTM)ENT
<br /> c� FILE NUMBER: UP-
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<br /> RoadlStreet Name R:O W:Width ....Pavernent.Width. , Curb/Gutter,', . Sidewalks
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<br /> ' Yes❑; No❑.::: . ,Yes[]...N�❑. ..
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<br /> Describe any areas subject to flooding(include flood depths and flood,panel map number):
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<br /> Describe the current depth o e.ground water and depth to potable water:
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<br /> Describe any existing drainage courses or eroded areas on or near the project site (e.g.rivers,creeks,swales or drainage ditches):
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<br /> Describe the site's topography(e.g.land fors,slopes,etc.):
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<br /> Describe agricultural land that will be lost as a result of the project(type of crops, acres,quality of soil,etc.):
<br /> Describe any wildlife habitat on-site and species that are of may be present:
<br /> Describe any vegetation on-site by type and extent:
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<br /> Air Quality
<br /> Describe air pollutants that may result from the project(e.g.construction related dust,vehicle trips per day,fire places,incinerators,
<br /> etc.
<br /> FADEVSVOPIanning Application Forms\Use Permit.(Revised 1-2-03) Page 4 of 9
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