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APPLICATION - USE PERMIT <br /> , � SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> "4t1Fa N`p. <br /> FILE NUMBER: UP- <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 /> /o./m s P ss/� . <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 /> Spa as Number Spaces Number Spaces Number S aces Number Spaces Number Number <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landsca ed T e Number <br /> r!!Existi'n <br /> f .t! a �A�v��,c�Water Annex-Formation Distance to Public <br /> lic Water Service Provider R uired Water Feetoed ❑❑ ,�/ - <br /> Private Water❑ ExistingWell IJv New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Ann tion Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage / <br /> Disposal El Existing R Septic S stem New Se tic 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 ElOn-siteRetention Pond s l� Natural Drainage/No Chan a Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> ON- .5/TE' VE/QlZ<>/✓ /Y)[lr3/GE <br /> School Service - Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> F.\DEVSVC\Planning Application Forms\Use Permit.(Revised 02-03-10) Page 3 of 9 <br />