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►PPLICATION — SITE Pt's,"POVAL <br />AQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />FILE NUMBER: SA- <br />RUILDINGS AND STRUCTURES <br />This information may be shown on the Site Plan <br />Structure <br />I Number ' <br />Proposed Use " Ground Floor Area Highest Floor <br />Overall Height (in feet) <br />GUiL D S NA -"c G c to ' — I o �' <br />c S IQ's-� Ter�E-r sm ► — 5 a r. <br />lel- I NJ G L_ o <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 />IL <br />SITE IMPROVEMENTS AND SERVICES <br />'(--_ <br />F_ Off -Street Parking <br />Compact Parking <br />Handicap Parking <br />Covered Parking <br />Total Parking Parking Lot Trees <br />Space Number Number <br />Full-size Parking <br />S aces Number <br />S aces Number <br />Spaces Number <br />Spaces Number <br />(!S C1Q� <br />--- <br />N 1A <br />�rI L_ <br />83 -- rekc.t� alp <br />Til hIl.G' R Landscaping 3 Z Is X_ <br />l andscaping Area <br />Percent of Project <br />Street Trees <br />Street Trees <br />Method of Irrigation <br />(Square Feet <br />Area Landscaped <br />Owl "/� <br />(Type) <br />Number <br />II 210o <br />C'•� L <br />T° be R�,m�v <br />g. Water <br />Annex -Formation Distance to Public <br />Public Water Service Provider Re uired Water Feet <br />Proposed ❑ <br />II Existing ❑ <br />ExistingWell New Well ❑ Well Replacement ❑ —J <br />Private Water <br />Sewage Disposal 1\j A <br />Annex -Formation Distance to Public <br />Public Sewage <br />Service Provider Re uired Sewer Facili <br />Disposal <br />Proposed ❑ <br />1 S 1 <br />Existin ❑ <br />Existin Septic System ❑ New Septic S stem ❑ Other ❑ <br />I On-site Sewage <br />I Disposal ❑ <br />Storm Drainage <br />F,—Public <br />Storm Annex -Formation Terminal Drainage Detention -Retention <br />Service Provider (if Public) Ponds <br />Drainage Required to: <br />Proposed ❑ <br />Existing ❑ <br />Pr=er <br />Natural Oraina a/No Chane ❑ Other ❑ <br />D <br />On-site Retention Pond s <br />Telephone Service <br />Electricity <br />Service Provider <br />Distance to Service <br />Distance to <br />S.: !ice Provider !7ervwe <br />_ <br />fkf- d o g <br />A T4 7 <br />T A -F �eQr <br />School Service <br />Fire Protection Service <br />Service Provider <br />Distance to Fire Station <br />Distance to Elem <br />Service Provider School <br />_-- <br />FRENcN GSM <br />--- <br />i <br />MA►s-TC-C, vNfPrC C> <br />r �DEVSvCtPlanning Application Forms\Site Approval (Revised 02-03-10) Page 3 of 9 <br />