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u:n APPLICATION - SITE APPROVAL SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1N `< FILE NUMBER: SA- BUILDINGS AND STRUCTURES This information may be shown on the Site Plan Structure Number' Propos d Use*' Ground Floor Area Highest Floor Overall Height(in feet) Pole Sign—See Attached Exhibits N/A N/A Approx.50' The "structure number"should be used in identifying the structure on the Site Plan. If there are two or more proposed uses in a building, make separate listings for each use. For residential projects, state the number of units in each structure. SITE IMPROVEMENTS AND SERVICES Off-Street Parking Full-size Parking Compact Parking Handicap Parking Covered Pa king Total Parking Parking Lot Trees Spaces Number S aces Number Spaces Number S aces Number Spaces Number Number N/A Landscaping Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation S uare Fee[ Area Landsca ed T e Number N/A Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ N/A Existin ❑ Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ N/A Existin C] On-site Sewage Disposal ❑ Existing Septic System ❑ New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑ N/A Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Approx.200' N/A School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station N/A N/A N/A FADEVSMI'lanning Application Forms\Site Approval.(Revised 02-03-10) Page 3 of 9