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pO U,r/y APPLICATION - -6ITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> V1 < <br /> FILE NUMBER: SA- <br /> BUILDINGS AND STRUCTURES <br /> his Information may be shown on the Site Plan <br /> Structure <br /> NumberProposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> FT 1- 3 '— <br /> The <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 ParkingTotal Parking Parking Lot Trees <br /> Spaces Number S aces Number S aces Number S aces Number S aces Number Number <br /> 3 f <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landsca ed a Number <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed ❑ <br /> Existin ❑ <br /> New Well ❑ <br /> Private Water Existin Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal ❑ I Existing SepticS stem ❑ laA/E New Septic System ❑ 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 /> Private Storm <br /> Drainage X On-site Retention Ponds Natural Drains e/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> 5 0'V r, <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lo Ji dvI r-l" i 2 i+9x De c /=/R' S Hilt ref <br /> F0EVSVOOPlanning Application FormsGte Approval.(Revised 1-3-03) Page 3 of 9 <br />