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p4u'N APPLICATION - SITE APPROVAL <br /> �0•��.cOG <br /> v ZI <br /> < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: SA- <br /> 4<i F o RNvP <br /> BUILDING AND STRUCTURES <br /> (This information may be shown on the Site Plan) <br /> ructure <br /> Number' Proposed Use" Ground Flood Area Highest Floor Overall Height in feet <br /> See Site Plan <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 Numbered Number <br /> N/A <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> Square Feet Area La ed (Type) Number <br /> N/A <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Disposal ® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Ann ion Terminal Detention- <br /> Public Storm Drainage Service Provider(If Public) Re uired Drainage to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ <br /> Private Storm Drainage ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> P.G.&E. Adjacent AT&T I Adacent <br /> School Service Fire Protection Service <br /> Distance to Elem. <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified School District 5 Miles Mokelumne 5 Mlles <br /> ROEVSVS\Planning Application Forms\Site Approval(Rev.02-03-10) Page 4 of 9 <br />