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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> BUILDINGS AND STRUCTURES <br /> This Information may be shown on the Site Pian) <br /> Structure <br /> Number` Proposed Use"" Ground Floor Area Highest Floor Overall Height(in feet) <br /> NIA <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 /> OffStreet Parking <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces(Number) Spaces(Number 5 aces (Number) Spaces (Number) Spaces(Number) (Number) <br /> NIA <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> —(Square Feet Area Landscaped Number <br /> NIA <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider R wired Water (Feet) <br /> Proposed ❑ <br /> Existing ❑ <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 Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Dis osai ExlstingSe tic System 0 New Septic s stem ❑ 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 /> Drainage❑x On-site Retention Ponds ® Natural Drain a/No Chan e ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E At site AT&T At site <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Jefferson School 1.5 miles Tracy Rural 1 mile <br /> FIDEVSVCAsming Application FmmsiSiia App;wag.(Revised 02-0310) Page of <br />