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APPLICATION- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDINGS AND STRUCTURES rlq <br /> This mfomwlion ma Ee shown on the Site Plan%% �,� ,:" " <br /> strvcture Number' Proposed Use Ground Flour Mea Highest Floor Overall Haight tin <br /> lest <br /> yr F 5F sr z <br /> u tAMC, zo <br /> a <br /> s z <br /> Th.'structure numbeP should M used In Identifying the structure on the Sita Plan. <br /> N there are two or more proposed uses In a building,make separate listings for each use. For residential projects,slab the number M <br /> units In each structure. <br /> � r•� ``v;,\�,`„�'73',` ,'y,� SHEIMPROVEMENTSANDSE_RVICES'�ay_ <br /> a <br /> OIfS[reel Parkin <br /> Full-alae Parking compact Parking Handicap Parking Coverts Parking Total Parking Puking Lot Trees <br /> 3 aces Numbet Spaces mbeNur 'Faces Number Spaces Mumbarl Sp.... Numbea Number <br /> IS 1 15 3 <br /> hntlwping Mea Peltenl of Protect Street Trees Strset Trees Method of lnlgatlon <br /> uere FeN Mea landsea ed T Number <br /> 8 c� 2� 2 Amo 2u�2 <br /> „&..,. 3a3Yc z 'r.•�Wale rr.'3G �� n w.,Ynz•s ��`.� '�-�%�X�. <br /> Public Wabr Service Provltle! Mnexformatlon Dlabntt to Public <br /> Pmpozetl❑ Required Wa[er(Fsep <br /> Eslrting❑ nn//11 <br /> Private Water EaIatlhqr Well New Well Well Replacement <br /> h ➢e, »3.`c § Y3'� y- `�u. Yr. iZ' F,p /yn <br /> Public Sewage Service Provider Mnexformatlon Distunceto Public <br /> Disposal Required Sewer Faalllty <br /> Pro,. <br /> alarm,0 <br /> On-site Sewer a Existing Septic 3ynem ❑ New 3elxlc System Other 0 <br /> Ola v <br /> sk, Storm Oralna e < ...... <br /> Public Storm Service ProvMer R Public) Annex{ormatlon Ttrminal DrainageDetentionA tendon <br /> Drainage Req.ued to: Ponds <br /> Psopostd 0 <br /> Existing 0 <br /> I I t <br /> privste Storm Onaile Retention Pond(s))( Natural OrainagNNO Change O Other 0 <br /> Dulm <br /> J3 <br /> EIie. L 3j Ml <br /> MNed rnc <br /> Se�� ^$: �'Tele hone e <br /> Service Provider Distance to Service Service Provider Dlrtanceto Service <br /> XV✓f1YJG. l C"KL`o <br /> aWiwi <br /> .., School Sennc ;,,'F„ Fire Protection Service. , <br /> Service ProvlEet Distance to Dem Service Provider Distance to Fire <br /> School Statlon <br /> xistin Road <br /> R,odId NN,t Name R.O.W.Width Pavement Width CnIaGunerr Sidewalks` <br /> /OC,L0d yea No YesD Noy <br /> yea No yea No <br />