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APPLICATION- GRADING EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .................. <br /> ........... <br /> M <br /> M <br /> rhile wormadion meyb� "ian:lhiii M� <br /> Svucbjre Number• Proposed Use, Ground Floor Area Hi;he*t Floor Overall Height (in <br /> , /11.:31L,: <br /> .:61L,:- — to" <br /> 7—n77T"F;S2 <br /> aRn <br /> ;2 ii966a, f S4g <br /> 7 /3 <br /> The'structure number' should be used in identifying the structure on the Site Plan. <br /> • If there we two or more proposed uses in a building, make separate listings for each wa. For residential buildings. state <br /> the number of units in each structure. <br /> ............ <br /> .......... <br /> Public Water Service Provider Anrex-Formation Distance to Public <br /> Proposed 0 A/�,A/t.5- Required Wader (Feet) <br /> Existing 0 <br /> PrivateWaterk7l Existing Well 0 New Well 0 Well Replacement 0 <br /> 'X" <br /> SewageD SPOS9 <br /> . ....... . ......... <br /> Public Sewage Service Provider Ant ex-Formation Distance to Public <br /> Disposal 1,-16)/J9 Required Sewer Facility <br /> Proposed 0 <br /> Existing [I <br /> On-site Sewage Existing Septic System Z Nevv Septic System 0 Othe 0 <br /> Disposal J. <br /> Storm Drainage <br /> Public Storm Service Provider (if Public) Annex-Formation Temiinal Drainage Delefton <br /> Drainage /Vo A'4e Required to: Retention Ponds <br /> Proposed 0 <br /> Existing 0 <br /> Private Storm On-site Retention Pond(s) 0 Natural Drainage/No Change 0 Other :1 <br /> Drainage 0 <br /> EAW 9 Roskd* <br /> n <br /> Remd/Street Name R.O.W. Width Pavement Width C urb/Gutter SidewalksM-A Yea 0 Noff Yes 0 No'Q <br /> Yte[I Nor) Yes O No <br /> Yes O NoO Yes[3 No 0 <br /> ........... <br /> ...........—.... <br /> 0 <br /> Excavation Area (Acres): /47/. 7 iqr— Fill Area(Act"):. <br /> Existing Site Elevation (Average at 100' Intervals): 3 30 <br /> Proposed Site Bwation (Average at 100' Intervals): <br /> Perimeter Elevation (Average at 100' Intervals, 5'from Property Line): <br /> Perimeter Elevation (Average at 100'Intervals, 100'from Prop" Line): go <br /> Amount of Material to be Removed (Cubic Yards): 261. <br /> C--x-"1=1 c.>A - L-ep <br /> Approximate Start Date: IJfoot,-d =Approximate End Date: aYZ <br /> Hours of Operation: -7 J2 <br /> Average Daily Truck Trips: <br /> .3 <br />