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oP4�iN. APPLICATION — USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> BUILDINGS AND STRUCTURES <br /> his information may be shown on the Site Plan <br /> Structure <br /> Number* Pro osed 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 aces Number S aces Number Spaces Number S aces Number Spaces Number Number <br /> 3 J - c <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landsca ed (Type) Number <br /> L, AL1 1 <br /> Water <br /> Annex-Formation Distance to Public <br /> fpExisting <br /> ublic Water Service Provider Re uired Water FeetPropoed❑❑ <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 /> Disposal❑ Existing Septic S stem New Septic SystemV SystemOther ❑ <br /> Storm Drainage <br /> Public Storrs <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ R F <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 /> C <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> L)D( U wrk IRE-P I 1/'Z_wq L.=2 L';O'DI 'F( 2& Nn i <br /> RUEVSVC\Planning Application Fotms\Use Permit(Revised 02-03-10) Page 3 of 9 <br />