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_01 <br /> APPLICATICM -- USE PERMIT <br /> p? ••.C' <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 Ground Floor-Area Highest Floor Overall "eight(in feet) <br /> Number* Pro osed Use*" <br /> 7' <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 /> Parking Total Parking <br /> F seN Number SoacesctNuberr Saacces Number S acesd <br /> aces Parking Nu berr S aces Number Parking(Number) <br /> umobt frees <br /> S ace <br /> Landscaping <br /> Street Trees Method of Irrigation <br /> Lands ca ing Area Percent of Project Street Trrees Nuber <br /> S r Feet Area Landscaped <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ c!'t -.)�L' 4 C(1//) l v t�iI Z <br /> Existin <br /> Private Water <br /> Existin Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Re uired Sewer Facilit <br /> Disposal Service Provider <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage New Septic S stem ❑ Other ❑ <br /> Dis osal Existing Septic System <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) Required to: Ponds <br /> Proposed , <br /> Existing S`'Cu <br /> Private StormNtl Drainage/No e1No Chane Other El <br /> Draina e F-1on-siteRetention Ponds Ll Natural <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> / / <br /> School Service Fire Protection Service <br /> Distance to Elem Service Provider Distance to Fire Station <br /> Service Provider 3 School <br /> F,VDEvsvc\Planning Application FormslUse Permit (Revised 05-11-09) Page 3 of 9 <br />