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f PQUIN APPLICATION USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> - - - - --- -- - - - - - - -FIL-E NUMBER- <br /> 9��FOR� <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 /> none <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 Spaces Number Number <br /> None <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped a Number <br /> None <br /> Water <br /> Public WaterService Provider Annex-Formation Distance to Public <br /> Required Proposed F-11Water Feet <br /> Existing ❑ <br /> Private Water ® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider <br /> Proposed ❑ Required Sewer Facility <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal ® Existing Septic System ❑ 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 ® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E On site AT&T On site <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> Lammersville School District 3 miles Division of Forestry 1 mile <br /> FADEVSMPlanning Application Forms\use Permit.(Revised 02-03-10) Page 3 of 9 <br />