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APPLICATION- SITE APPROVAL <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />Structure Number • Proposed Use •• Ground Fl x Area Highest Floor Overall Height on <br />feat) <br />2 eS S <br />3 S DD S� <br />' The 'structure number' should be used In Identifying the a lucture 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 />Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Tress <br />Spaces (Number) I Spaces (Number) Spaces (Number) I Spaces (Number) I Spaces (Number) _ _ (Number)_ <br />Landscaping Area Percent of Project Street Tress <br />(Square Feet) Area Landscaped (Type) <br />Public Water <br />Proposed ❑ <br />Existing ❑ <br />Private Water <br />Public Sewage <br />Disposal <br />Proposed ❑ <br />Existing ❑ <br />On-site Sewage <br />Service Provider <br />Existing Well ❑ New Well <br />Service Provider <br />Street Trees j Method of Irrigation <br />Annex -Formation I Distance to Public <br />Required Water (Feet) <br />Well Replacement ❑ <br />r .,.. ✓azar r, a , k a.....��.;: <br />Annex -Formation Distance to Public <br />Required I Sewer Facility <br />Existing Septic System ❑ New Septic System Other ❑ <br />Public Storm <br />Service Provider (if Public) Annex -Formation Terminal Drainage Detention <br />Drainage <br />Required to: Retention Ponds <br />Proposed ❑ <br />Existing ❑ <br />Private Storm <br />O"Ite Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br />Drainage ❑ <br />K` <br />11Xk. Y %. <br />°8.t` <br />.. <br />, <br />....,. D <br />a�A.;lrrr 3�lrlf <br />Service Provider <br />Distance to Service <br />Service Provider <br />Distance to <br />Service <br />W'. <br />Service Provider <br />Distance to FJem <br />Service Provider <br />Distance to Fire <br />School <br />Station <br />�p <br />ins <br />er <br />-7/ <br />n0/� <br />- <br />_1 <br />Road/Street Name <br />R.O.W. Width <br />Pavement Width Curb/Gutter <br />Sldawalks <br />— Z <br />Yes ❑ Nor$( <br />Yee ❑ No Ir <br />Yea ❑ No ❑ <br />Yea ❑ No ❑ <br />-3- <br />