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.. APPLICATION USE PERMIT <br /> v C <br /> SAN JOAQUIN COUNTY COMMUNIT'� ELOPMENT DEPARTMENT <br /> 17110 <br /> .. _f <br /> FILE NUMBER: UP- <br /> • C'e�IFP <br /> BUILDINGS AND STRUCTURES 11: <br /> This information ma be shown on the Site Plan <br /> Structure Ground Floor Area Highest Floor Overall Height(in feet) <br /> Number' ProposedUse" <br /> Pleas rete r +o +L,e c _ 1cM �ar 41� s t1-T rfv.aF cw) . <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 (NumberSpaces Number Spaces Number Number <br /> l4 1 62 II I D 1 z 14 f Brox . 85 <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped (Type) Number <br /> 3� 5 c 7, S Lte�cr-m,t'n l RpProx'INa ely 2< S . ray l Gll-t� <br /> Water <br /> Annex-Formation Distance to Public <br /> Service Provider R=rniiFori - \n!aro-(peat) <br /> Public Water <br /> .O <br /> ExispOting ❑geG iJ t�S✓l e_ <br /> � � appllca � fe a.p <br /> .Private Water Q Ezistin Well ❑ New Well © Well Replacem <br /> entSewage DisposalPublic Sewage Annex-Formation to Public <br /> Disposal Service Provider Re uired Facilit <br /> Proposed ❑ fad'Novo- ap ilea ti le. ':. t✓lC_ <br /> Existin ❑ <br /> On-site Se wa e Other ❑ <br /> Dis osal ExistingSeptic System El New Septic S stem �, <br /> Storm Drainage ?' ecs +e tan . <br /> Public Storm i Ann]Required <br /> ormation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) to: Ponds <br /> Proposed ❑ a+ P o F r <br /> Existing ❑ I�or�. - - ,l � ca6i[.- zpptica.ble-. d. pit c=ble <br /> Private Storm U�dE-. gr-a�,n�, S+ormurK-� nlaa•a�e,-��+•j ( c+�•}\ov.jcy �ir 5 x - Pm oxa <br /> Drainage[J `On-site Retention Ponds ❑ Natural Draina e/No Chane ❑ Other <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P a� �d :� 1 o AT d r O <br /> School Service Fire Protection Service <br /> Distance to Elem Distance to Fire Station <br /> Service Provider School Service Provider <br /> yo4 <br /> 4 <br /> aPpllcebte apP c� l L� 4 p- Yar eca SPD rn` {ES <br /> F:\DEVSvc\Planning Application Forms\Use Permit.(Revised 1-2-03) Page 3 of 9 <br />