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APPLICATION- USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> a s BUILDINGS AND STRUCTURES <br /> {Dt14 ihYormation may>m shown nit the sae Mani: M �:x* <br /> ................ .. .. .... <br /> Structure Number• Proposed Use•• Ground Floor AreaF2story <br /> loor Overall Height On <br /> feet) <br /> 1 Board & Care <br /> The'structure number'should be used In Identifying the structure on the She 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 Perking Parking Lot Trees <br /> Spaces (Number) Spaces (Number) Spaces (Number) Spaces (Number) Spaces (Number) (Number) <br /> xx <br /> tpkgl :k � yy�T <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet) Area Landscaped (Type) (Number) <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed California Water Service Required Wader(Fe" <br /> Existing p <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewegn Dleposaf <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal City of Stockton Required Sewer Facility <br /> Proposed❑ <br /> Existing <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> Sbtdt Draittaga au,�xx <br /> Public Storm Service Provider (it Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage San Joaquin CountV Required to Retention Ponds <br /> Proposed❑ <br /> Existing <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> ftectricfty 7elephena Sinks , <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> �Cf1001.'�PfYICa Pira PI016Ct10R <br /> Service Provider Distance to Elam Service Provider Distance to Fire <br /> School Station <br /> 1 <br /> E+tlegng goark <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yee❑ Nom Yes❑ No❑ <br /> Yee❑ No❑ Yes❑ No❑ <br /> -3- <br />