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i <br /> �Qu�N APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> N' { <br /> •' '• FILE NUMBER: UP- <br /> LIFORai <br /> BUILDINGS AND STRUCTURES <br /> (Thisinfornmnation maybe shown on the Site Plan <br /> Structure <br /> Number* Proposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> s�of conkUkr4n. �1 I)(� a G3 <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 /> 'Full-size ParkiN Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces Numbe Spaces(Number) Spaces Number Spaces Number Spaces Number Number <br /> Landscaping <br /> tandsca - Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped (Type) Number <br /> 1 ' DI%'vC <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required t Water Feet <br /> Proposed F1 <br /> Existing ❑ <br /> Private Water Existino Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider R uired Sewer Facility <br /> Proposed❑ <br /> Existing ❑ �0 (a— <br /> On-site Sewage <br /> Di osal ❑ Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Stone Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing ❑ <br /> Private Stone GtKk�ievl �� <br /> Drainage On-site Retention Pond(s) ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> Q&`L. t'(0 •t %L I okc <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> N v ww&'i ylb <br /> FIDEVSVC\Planning Application Fortes\Use Permit(Revised 6-03-04) I <P��age 3 of 9 600 <br />