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<br /> APPLICATION-.:"&TE�APPROI/AL
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVEIAPMEN7GDEPARTMENT
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<br /> CT
<br /> QUA MSTRU
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<br /> Structure Number` Proposed Use"' Ground Floor Area Highest Floor Overall Height[in
<br /> feet
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<br /> The"structure number"should be used in identifying the structure on the Site Plan. =f i
<br /> If there are two or more proposed uses in a building,make separate listings for each use. For residential projects,state the number of
<br /> units in each structure.
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<br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees '
<br /> S aces Number Spaces lNumberl Spaces Number Spaces Number Spaces Number Number
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<br /> Landscaping Area Percent of Project Street Trees Street Trees " Method of Irrigation
<br /> (Square Feet Area Landscaped (Type) Number
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<br /> 0000 E<a A • C(wpe. $6 . PR�a Crt-�aS
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Proposed❑ R uired Water Feet
<br /> Existing❑
<br /> Private Water Existing Well New Well ❑ �WNI Replacement.© I
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required SewerFacilltV
<br /> Proposed❑ y,
<br /> Existing i
<br /> On-site Se a Existing Septic System New Septic System,;& Other.{]
<br /> Dis osai CMOti1�5�1 •• � •"' '
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<br /> Public Storm Service Provider(If Public) Annex-Formation Terminal Drainage_- »'• Detentlon-'• " i
<br /> Orainage Required to: 'Retention Ponds
<br /> Proposed 0 ..
<br /> Existing❑
<br /> Private Storm On-site Retention Ponds) © Natural Drainage/No Changed Other ❑
<br /> Drainage " •,"
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<br /> Service Provider Distance to Service Service Provider Distance to Service
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<br /> Service Provider Distance to Elem Service Provider" "Dlstance to Fire
<br /> School Station
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<br /> Road/Street Name R.O.W.Width Pavement Width CurbtGutter Sidewalks
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<br /> Yes❑ No� Yea No
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<br /> QV�R�S RD— L ia ��_ Yes❑ No j� Yes© Nsy�
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