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APPLICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> 4<i'd OPS` <br /> BUILDINGS AND STRUCTURES <br /> .his Information me be shown on the Site Plan <br /> Structure Ground Floor Area Highest Floor Overall Height(in feet) <br /> Number" Pra osedUse" <br /> Z x <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 /> OffStreetParking <br /> Full-size Parking I Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> S aces Number S aces Number S aces Number Spaces Number Spaces Number N ber <br /> Landscaping <br /> Landscaping Area Percent ofProject Street Trees Street Trees Method of Irrigation <br /> S uare Feet Area Landsca ed (Type) Number <br /> �f <br /> - Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed <br /> Existi <br /> Private Water❑ <br /> Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Re uired Sewer Facilit <br /> Disposal Service Provider <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Dis osal Existin Septic System New Se tic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Seryice Provider(if Public) Re uired to: Ponds <br /> Proposed❑ <br /> Existing <br /> Private Storm Natural Drainage/No Chane Other ❑ <br /> Draina a On-site Retention Ponds ❑ <br /> Electricity Telephone Service <br /> Distance to Distance to Service <br /> Service Pro ider Service Service Provider <br /> Sp hooIS erviFire Protection Service <br /> Distance to Elem <br /> Service Provider Distance to Fire Station <br /> Service Provider School <br /> ISMPlanning Application Fonns\Use Permit.(Revised 02-03.10) Page 3 of 9 <br />