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qAN ,10AQ1.)IN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> APPLICATION - 6iTE APPROVAL <br /> FIl - N—'--^ SA-___ <br /> `x�v`~ --� - —�-----��--'------ �----- <br /> BUILDINGS AND STRUCTURES <br /> StfuCtUIP (This lnforrnV1on_"a be shown on the Site Plan) <br /> Number _.______.f_'roPosed Use Ground Floor Area I fighest Floor Overall Height(in feet) <br /> loor Area <br /> The"structi irr, nun iher"should be used in idonfifying the structure on the Site Plan, <br /> If there are tw�) or more proposed uses in n building, make separafn listings for each use. For residential projects, slate the <br /> SITE imrROVEMENTS AND SERVICES <br /> Off-Street Parking <br /> :1acl Parkliq liqn(licap p�_r1kii—ng Covered Parking Total Parking arking Lot Trees <br /> king <br /> ralc s lumberL <br /> Spac(��_ 6 <br /> -3 SJITU_1P b mr� _�,je s(t I�n�be r __Lf 3 p es; !j i ,bff I Spaces(Number) (Number <br /> Landscaping <br /> ....[andsC,�3ping Area Pm,.;(?T)t of Ploject Street Yrees Street Trees Method of Irrigation <br /> S uare Feet) Arm., Landscaped (Number <br /> Water <br /> Publi(,Water Service Provider Annex-Formation Distance to Public <br /> PropoFed FI Required Water(Feet) <br /> "=Private Water Exisfinq Well New Well E] Well Replacement E] <br /> Sewage Disposal <br /> PuRc <br /> ,Sewage Annex-Formation Distance to Public <br /> Propo-ed El Sewer Facilltv <br /> Existi'r't El <br /> 1__nUq r r qrees <br /> N_Ition <br /> eR e�Ia�ce:nient=EJ <br /> Existi _J <br /> On-site Sewage <br /> Disposal Existinq Septic Systern [i] New Septric System El Other 0 <br /> Publk; Storm <br /> vvice Provider 'Terminal Drainnge Detention-Retention <br /> Proposed [ff Requi�eq to: Ponds <br /> Exisling El <br /> ` <br /> � <br />| Pdn <br /> vnlSkxm ' '--- <br /> Draula -site Retention Pond s Other [J <br /> On <br /> Natural Dralriage/No Change <br /> Telephone Service <br /> Seivice Provider <br /> Service Providef—_ Distance to Service <br /> School F-tvice <br /> r1re Protection Service <br /> Provider .J1 <br /> Seivice 1-1tovider Distance to Fire Station <br /> / <br />