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APPLICATIG" - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> fy- <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 /> 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 /> S aces 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 /> S uare Feet Area Landscaped (Type) Number <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existin ❑ <br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facili <br /> ty <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage p <br /> Dis osal ❑ ExistingSeptic S stem New Septic;System El Other El <br /> Storm Drainage <br /> Public Storm <br /> Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) <br /> to: Ponds <br /> Proposed E] Re uired <br /> Existing ❑ <br /> �r7Private Storm <br /> Draina e ❑ <br /> On-site Retention Pond s ❑ Natural Draina elNo Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> o <br /> F,'DEVSVCIP1,nPning Appl+cation Form-,Wse Permit (Revised 1-2-03) Page 3 of 9 <br />