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APPLICATION- USE PERMIT
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Structure NumberProposed Use*' around Floor Area Highest Floor Overall Height(in
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<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.
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<br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees
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<br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation
<br /> (Square Feet) Area Landscaped (Type) (Number)
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Proposed❑ Required Water(Feet)
<br /> Existing'•
<br /> Private Water Existing Well ❑ New Well ❑ Well Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
<br /> Proposed❑
<br /> Existing J1 A/O
<br /> On-site Sewage Existing Septic System ® New Septic System i_1 Other ❑
<br /> Disposal l*
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<br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Proposed❑
<br /> Existing It
<br /> Private Storm On-site Retention Ponds) A Natural Drainage/No Change q Other ❑
<br /> Drainage D
<br /> Telephone Service
<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Elem Service Provider Distance to Fire
<br /> School Station
<br /> ESCALUAl Sc 00C /t?/, CS�i96aAhl 41,4460
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
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<br /> U Yes❑ NoV Yes❑ No
<br /> Yes❑ No 0 Yes❑ No,Q
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