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OpgUiN' APPLICATION — USE PERMIT <br /> r a SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- - <br /> CgtiFOUR�'`a <br /> BUILDINGS AND STRUCTURES <br /> This information may beshown on he Site Plan <br /> Structure <br /> NumberProposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> S)lmovayr? E,SAV3U ST_ ' <br /> Z n' 90 TFl r 2 ' <br /> 3 Exi /��o SF 12 ' <br /> b2stA14 PerlAwKe / Asa s t �s' <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 Number Number <br /> i o 13 3 <br /> Landscaping <br /> Landscaping Area Percent of ProjectStreet Trees Street Trees Method of Irrigation <br /> S uare Feet Area Landscaped (Type) Number <br /> b 121P Cl —3 <br /> Water <br /> Ann tion Distance to Public <br /> ffEisn <br /> Service Provider Re uired Water Feet <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facili <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sege <br /> Disposal <br /> 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 Storip <br /> Draina a 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 /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> elf Soa Z &11 —Tv-ac ' irri <br /> F\DEVSVC\Planning Application Forms\Use Permit(Revised 1-2-03) Page Pof 9 <br />