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oPaV(N APPLICATION — USE PERMIT <br /> >.. <br /> 2:. f: =y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :�' �:`• FILE NUMBER: UP- <br /> Q�rkoR� <br /> BUILDINGS AND STRUCTURES <br /> This information may be shown on the Site Plan <br /> Structure <br /> Number' Proposed Use** Ground Floor Area Highest Floor Overall Height(in feet) <br /> SEES Cre PGAJJ <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 /> 2 Z <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped (Type) Number <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> Private Water Existing Well (g 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 Sewa e <br /> Disposal 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 /> Drainage 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 /> r 0 - rte— A—r- & T <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lcn i OA-)i t Ilz M I lf-";, U«ro 2 %� s <br /> F:\DEVSVC\Planning Application Forms\Use Permit.(Revised 02-03-10) Page 3 of 9 <br />