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oP��IN. APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1: < <br /> "` '•� FILE NUMBER: SA- <br /> 4�%FOR1a <br /> BUILDINGS AND STRUCTURES <br /> This information may be shown on the Site Plan <br /> Structure <br /> Number* Proposed Use** Ground Floor Area Highest Floor Overall Height(in feet) <br /> 3 s <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 Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> S aces Number Spaces Number Spaces Number Spaces Number Spaces Number Number <br /> iU/ r Q <br /> I --Z-a <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped e Dumber <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 V Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal ❑ Existing Septic System ❑ New Septic System 21 Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing❑ <br /> I Private Storm <br /> Draina e ❑ On-site Retention Ponds ElNatural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E SOW on property AMT <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Liberty Fre District 4.1 miles <br /> F:OEVSVC\Planning Application Forms\SiteApproval.(Revised 02-03-10) Page 3 of 9 <br />