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APPLICATICA - USE PERMIT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: UP- rnay,,6�11 rmi shover ion Plan Structure Number Proposed Use Ground Floor Area Highest Floor Overall Height(in feet) EThe"structure number"should be used in identifying the structure on the Site Plan. If there are two or more proposed uses in a building, make separate listings for each use. For residential projects,state the number of units in each structure. YEMENTS-AND SERVICES l: Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees Spaces(Number) Spaces Number Spaces(Number) Spaces(Number) Spaces (Number) (Numberl 0 Landscaping Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation (Square Feet) Area Landscaped (Type) (Number) 1A N /A k lei 5wleA Water Annex-Formation Distance to Public Public Water Service Provider Required Water(Feet) Proposed El Ex sting El N /A N 1A 141A F—Private water Existing-Well New Well El Well Replacement E] Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facili!y Proposed [] Existing El K[ N/A On-site Sewage Disposal Existing Septic System New Septic System E] Other El Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed E] RTcLuired to: Ponds Existing 0 �r /A N iA N /A N /A Private Storm I Drainage On-site Retention Pond(s) ❑ Natural Drainage/No Chane Other El Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service A School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station J FADEMMPlanning Application FormsVUse Permit.(Revised 1-2-03) Page 3 of 9