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APPLICATION - USE PERMIT <br /> r. .y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> p i <br /> FILE NUMBER: UP-PA 1100012 <br /> '4Ci'k a'stN � <br /> BUILDINGS AND STRUCTURES' <br /> his Information may be shown on the Site Plan <br /> Structure <br /> Number* Proposed Use** Ground Floor Area Highest Floor Overall Height(in feet) <br /> See Site Plan <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 /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped (Type) Number <br /> 2 ess than 1% Ja anese Maple --2- Sprinkler System <br /> i Water <br /> Annex-Formation Distance to Public <br /> Public Water Servide Provider Required Water Feet <br /> Proposed❑ <br /> Existin ❑ <br /> Private Wates_ Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility__ <br /> Proposed❑ <br /> Existi n2❑ <br /> On-site Sew@ge <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 KI On-site Retention Ponds ] Natural OrainagelNo Change ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> LUSD a 3M Waterloo Fire District 1-1/2 anile TA1 <br /> F.ZEVSVQPlanning Application FormslUse Permit.(Revised 02-03-10) Page 3 of 9 <br />