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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNir. DEVELOPMENT DEPARTMENT <br /> t FILE NUMBER: SA- <br /> V ; ILDI JGS A <br /> � <br /> Thla inform ition may_ba shown on the <br /> Structure <br /> NumberProposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> 11111A <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 /> Full-size Parking Compact Parking -Handicap-P'arking covered Parking Total Parking Parking Lot Trees <br /> Spaces Number Spaces Number S aces Number S aces Number S aces Number Number <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> S uare Feet Area La <br /> ed T e Number <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Wafer Service Provider Re uired Water Feet <br /> Proposed ❑ <br /> Existing ❑ MIA <br /> New Well ❑ <br /> Private Water ing Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed F� <br /> Existing NLA <br /> ,v <br /> On-site Sewage <br /> Disposal ❑ Existing Septic System New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Draina e❑ On-site Retention Ponds ❑ MAP Natural Drainage/No Chane Id Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> 10 C la C_ <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider I School Service Provider Distance to Fire Station <br /> L GlS L7 V ,--e Q ,t cm rnilC-5 <br /> F.\DEVSVOPlanning Application Forms\SKe Approval.(Revised 1-3-03) Page 3 of 9 <br />