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gP4uly APPLICATIwN - USE PERMIT <br /> a•�6t' <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> �rFORN <br /> BUILDINGS AND STRUCTURES <br /> is infoorm 'onmavixeshownon the Site Plan <br /> Structure <br /> Number' Proposed 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 /> S Number Spaces Number S aces Number Spaces Number Spaces Number Number <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> S uare Feet Area Landscaped Number <br /> Water <br /> Ann tion Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed ❑ <br /> Existin ❑ <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Fomtation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ A <br /> Existin ❑ <br /> On-site Sewage <br /> Disosal❑ Existing Septic System ❑ 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 /> Drains e❑ On-site Retention Ponds Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> nce to Elem <br /> Service Provider Dista�hoo1 Service Provider Distance to Fire Station <br /> F.\DEVSVOPlanning Application Forms\Use Permit.(Revised 6-0304) Page 3 of 9 <br />