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pa� N APPLICATIC_.-J — USE PERMIT <br /> r' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> 4<<F ORa <br /> BUILDINGS AND STRUCTURES <br /> This Information may be shown on the Site Plan <br /> Structure <br /> Number' Pro sed 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 Spaces Number Spaces Number S aces Number Spa es 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 /> - Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existin ❑ <br /> Private Water Existing Well 118 New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal <br /> Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> Existing❑ <br /> xi <br /> On-site Sewage stinStic stDis sal em New Se tic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) <br /> Required to: Ponds <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Storm <br /> Draina e [ <br /> On-site Retention Ponds ❑ Natural Drainage/No Chane .o Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> r - <br /> On - I 1 to <br /> School Service Fire Protection Service <br /> Distance to Elem Service Provider Distance to Fire Station <br /> Service Provider School <br /> • I�� le oc� \LIC <br /> 1 - <br /> F\DEVSVC\Planning Application Forms\Use Permit.(Revised 1-2-03) Page 3 of 9 <br />