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PgUIM APPLICATI N -- USE PERMIT <br /> o . ...... <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Q: <br /> FILE NUMBER: UP- <br /> QCi�Qa� <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 /> ts o caq e s k.P6 <br /> 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 /> Spaces Number Spaces Number Spaces Number Spaces Number S aces Number Number <br /> 13 t <br /> Landscaping <br /> Landscaping Area . Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped (Type)__ Number <br /> no <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing ❑ tV 42A <br /> Private Water ExistingWell New Well F-1Well 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 Sew a e <br /> Disposal ExistingSeptic System ❑ New Se tic System <br /> Other El <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 ❑ 04 l s i f <br /> Private Storm `� <br /> Drainage ❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> .`r;T <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider chool Service Provider Distance to Fire Station <br /> tou <br /> ROEVSVOPianning Application Forms\Use Permit.(Revised 1-2-03) Page 3 of 9 <br />