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Pa��N APPLICATIC ' — USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �U <br /> q�)FpFy� <br /> FILE IuVI-INGER: UP <br /> - <br /> BUILDINGS <br /> A D STRUCTPte <br /> S 6 UO <br /> his Information ma be shown on thePlan <br /> Structure <br /> NumberProposed Use** Grou Floor Area Highest F <br /> pp r <br /> Ov eight(tn feet} <br /> * The"structure number"should be used in identifying the structure on the ite 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 /> Fuli-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces Number Spaces Number Spaces Number Spaces Number Spaces Number Number <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> S uare Feet Area Landscaped a Number <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> Private Water❑ Existing Well New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage h <br /> Disposal sal ElExisti Septic S stem one, n New Septic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ <br /> Required to: Ponds <br /> Existing❑ <br /> Private Storm /� <br /> Drainage❑ On-site Retention Ponds (� t4/4 Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service qService Provider Distance to Service <br /> School Service J Fire Protection Service <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> F:\DEVSVC\Planning Application Forms\Use Permit.(Revised 1-2-03) Page 3 of 9 <br />