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APPLICATION - USE PERMIT <br /> :< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • cq. _ti��a • FILE NUMBER: UP- - <br /> �/FOR <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> } (� Yes ❑ No 91' Yes❑ No <br /> 7 '1 Yes EJ No 0 Yes El No <br /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER, IF NECESSARY <br /> Water, Drainage and Flooding <br /> Describe any areas subject to flooding (include flood depths and flood panel map number): <br /> 1— 6 Z F <br /> Describe the current depth of the ground water and depth to potable water: <br /> -� I r <br /> — <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 /> Describe 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 /> " �t <br /> Describe any wildlife habitat on-site and species that are of may be present: <br /> Describe any vegetation on-site by type and extent: <br /> I� <br /> I <br /> Air Quality <br /> Describe air pollutants that may result from the project(e.g.construction related dust,vehicle trips per day,fire places, incinerators, <br /> etc.): <br /> r ;7 C• <br /> F\DEVSVC\Planning Application Forrns\Use Permit (Revised 1-2-03) Page 4 of 9 <br />