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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENTE R M T <br /> 'e Z65 • FILE NUMBER: UP- <br /> Existin Roads <br /> Road/Street Name _ R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> FF <br /> X611,-I L_:E ; <br /> Yes❑ No Yes❑ No <br /> s <br /> ❑ o ❑ <br /> I ENVIRONMENTAL INFORMATION Yes No❑ Yes N <br /> USE I"DITIONAL PAPER, IF NECESSARY <br /> Water,Drainage and Flooding <br /> Describe any areas subject to flooding (include flood depths and <br /> .flood panel map number): <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 1131lota <br /> Describe the site's topography(e.g.land forms, slopes,etc.): <br /> T Er— <br /> 1@ t <br /> O IF <br /> Describe agricultural land that will be lost as a result of the project(type of crops,acres, quality of soil,etc.): <br /> Describe any wildlife habitat on-site and species that are of may be present: <br /> �t� t< <br /> Describe any vegetation on-site by type and extent <br /> Air Quality <br /> Describe air pollutants that may result from the proje(;t (e.g. construction related dust, vehicle trips per day,fire places, incinerators, <br /> etc. <br /> FADEVSVC1Planning Application Formsluse Permit(Revised 1-2-03) Pana A of Q <br />