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APPLICATION- USE PERMIT
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<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Structure Number" Proposed Use** Ground Floor Area Highest Floor Overall Height On
<br /> feet)
<br /> 12 X7—
<br /> A 17-
<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.
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<br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Proposed❑ Required Water(Feet
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<br /> Private Water 13 Existing Well New Well ❑ Well Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
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<br /> Drainage Required to: Retention Ponds
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<br /> Drainage❑
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<br /> Service Provider Distance to Service Service Provider Distance to
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<br /> School Station
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> �T Yes p No Yes❑ N
<br /> Yes Cl No O Yes❑ No❑
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<br /> -3-
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