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T <br /> APPLICATION - USE PERMIT <br /> SAN JOAQUIIN COUNTY COMMUNITY DEVELOPMENT.DEPARTMENT <br /> FILE NUMBER: UP- <br /> Existing.Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> - cj �,� OYl e. Yes❑ No Yes❑ No{� <br /> Yes❑ No❑ Yes❑ No❑ <br /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER IF NECESSARY <br /> Water,Drainage and Flooding <br /> Describe any areas subject to flooding(include f1pod depths and flood panel map number): <br /> 0() <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the project site (e.g. rivers,creeks, swales or drainage ditches): <br /> Land,Land Use and Biota <br /> ascribe the site's/topography(e.g.land forms, slopes,etc.): <br /> Describe agricultural land that will be lost as a result of the project(type of crops, acres, quality of soil, etc.): <br /> D l')e.:. <br /> Describe any wildlife habitat on-site and species that are of may be present: <br /> I�1 <br /> JL <br /> Describe any vegetation on-site by type and extent: <br /> Air Quality <br /> Describe air pollutant that may result from the project(e.g. cons don related dust,vehicle trips per day,fire places,incinerators, <br /> etc. : r�'nt <br /> r <br /> F:%0EV$VC0anning Application Forms%Use Permit.(Revised 1-2-03) Page 4 of 9 <br />