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APPLICATIC li - USE PERMIT <br /> o.• �all <br /> .co` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> N; <br /> FILE NUMBER: UP- <br /> ..,c w <br /> BUILDINGS AND STRUCTURES <br /> This Information me be shown on the Site an <br /> Structure Ground Floor Area Highest Floor Overall Height(in feet) <br /> NumberPro Sed Use <br /> �n r T <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 <br /> Covered Parking Total Parking Parking Lot Trees <br /> S acesNumber S aces Number S aces Number S aces Number Spaces Number Number <br /> V ti A �. <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees <br /> Method of Irrigation <br /> (Sqware Feet Area Landscaped (Type) Number <br /> All <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water❑ <br /> Existin Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Required Sewer Facili <br /> Disposal Service Provider <br /> Proposed ❑ <br /> Existin ❑ <br /> On-site Sewage New Septic System ❑ Other ❑ <br /> Disposal ❑ Existin Se tic S stem <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) Required to: Ponds <br /> Proposed❑ <br /> Existing ❑ <br /> 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 /> a '1 'ilit r <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> L,'A-) <br /> FADEVSVC\Planning Application Forms\Use Permit (Revised 1 2-03) Page 3 of 9 <br />