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op4�lM. APPLICATION — USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> kie: •a <br /> FILE NUMBER: UP- <br /> 'Q<<F ORa <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 /> 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 v J <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet) Area Landscaped (Type) Number <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water Existing Well Er/ 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 /> Existing ❑ <br /> On-site Sewage <br /> Disposal ❑ Existing Septic System L1 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 /> Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane 0 Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> i <br /> AL'IG `7 <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> F:\DEVSVC\Planning Application Forms\Use Permit.(Revised 02-03-10) Page 3 of 9 <br />