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a�tn APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> BUILDINGS AND STRUCTURES <br /> (This information may be shown on the Site Plan <br /> Structure <br /> Number` Proposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> 'Sk ILL120 At UI2 iA (02,0 5 7 'S_ • `Z S <br /> ` The"structure numbei"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 S aces Number S aces Number Spaces Number Number <br /> 3 <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> uare Feet Area Landsca d e Number <br /> 2 S <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed <br /> Existing❑ i✓1 or= .S'Tu To1.1 #0 T. <br /> V <br /> Existin Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Service Provider Required Sewer Facility <br /> C I T OF 57c, L,IGTo I.J V -700 'FT- <br /> On-site Sewage <br /> Disposal ❑ Existing Septic S stem ❑ New Se tic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> DrainageService Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed IJ Required I to: Ponds <br /> Existing ❑ 64 T o ?o To E S <br /> Private Storm <br /> Drainage❑ On-site Retention Pond s ❑ Natural Drainage/No Chane ❑ Other El <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider D' tance to Service <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> M t LE S <br /> F:OEVSMPlanning Application Fortis\Use Permit.(Revised 02-0310) Page 3 of 9 <br />