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�p4�'ty APPLICATION ® USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' FILE NUMBER: LIP- <br /> BUILDINGS AND STRUCTURES <br /> (This information may be shown on the Site Plan) <br /> Structure <br /> NumberProposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> 5E-f <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 Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces Number Spaces Number Spaces(Number) Spaces Number Spaces Number Number <br /> ' o <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees <br /> S uare Feet Area Landscaped (Type) Number <br /> 0 d R-&1+►0�� R� <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed❑ <br /> Existing <br /> Private Water❑ Existin 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❑ <br /> Existin <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 Natural Drainage/No Chane ❑ Other ❑ <br /> LHService <br /> tricity Telephone Service <br /> Distance to <br /> Service Service Provider Distance to Service <br /> l Service Fire Protection Service <br /> Distance to Elem <br /> School Service ProviderDistance to Fire Station <br /> G <br /> OF 5 <br /> F\DEVSVC\Planning Application Forms\Use Permit.(Revised 02-03-10) Page 3 of 9 <br />