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oPq�l�. APPLICATION — USE PERMIT <br /> Qr.% ,� -� '•s� SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> yu: <br /> BUILDINGS AND STRUCTURES <br /> his Information ma be showmon 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 /> —Spaces Number S aces Number S aces Number Spaces Number Spaces Number Number <br /> Lq._TCt! <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> S uare Feet Area Landsca ed (Type) <br /> Number <br /> N gI q <br /> .:Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required I Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> Private Water Existing Well IRI New Well ❑ Well Replacement ❑ <br /> Sewage Disposal- <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal <br /> Service Provider Re uired Sewer Facilit <br /> Proposed❑ <br /> Existin ❑ <br /> On-site SewagEm New Septic System Other ❑ <br /> Dis osale t <br /> ❑ <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) Required to: Ponds <br /> Proposed❑ � <br /> Existing In <br /> Private Storm <br /> Drains e❑ On-site Retention Ponds ❑ Natural Drains a/No Chane ❑ 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 /> I TttLfE' Lpl <br /> F\DEvsvc\Planning Applicatlon Forms\Use Permit.(Revised 6-03-04) Page 3 of 9 <br />