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o���lN. APPLICATION — USE PERMIT <br /> �` `y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> ��/FORS <br /> BUILDINGS AND STRUCTURES <br /> This information may be shown on the Site Plan <br /> Structure <br /> Number* Proposed Use Ground Floor Area Highest Floor Overall Height(in feet) <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 /> S aces Number S aces Number Spaces Number Spaces Number S aces Number Number <br /> N/A <br /> Landscaping <br /> Landscaping Area Percent ofProject Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landsca ed (Type) Number <br /> N/A <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ N/A <br /> Existing❑ <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer <br /> Facili <br /> Proposed ❑ N A <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal ❑ Existino Septic S stem ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ <br /> Required to: Ponds <br /> Existing E] N/A <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity'. ` - Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Approx. 80 ft. AT&T Approx. 80 ft. <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Holt Union Elementary Approx. 80 ft. San Joaquin Fire Prevention. 8 miles <br /> RTEVSVOPlanning Application Forms\Use Permit.(Revised 02-03-10) Page 3 of 9 <br />