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APPLICATION- USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ING5 ?rfSTl L)CTt,I <br /> f�L3iLbD pIr$ <br /> is information frown <br /> Structure Number' Proposed Use" Ground Floor Area Highest Floor Overall Height On <br /> feet) <br /> 1, Store Food, beverages, clothing 2400 SF 1 16'± <br /> 2, Laundromat Laundry 2000 SF 1 16'± <br /> 3, Multi purpose TV & recreation games 3000 SF 1 16'± <br /> 4, Living units Living units 1150 SF 1 16'± <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 /> ..Oft-Street Perkfnp <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces (Number) Spaces (Number) Spaces (Number) Spaces (Number) Spaces (Number) (Number) <br /> :......:::.. <br /> :.::•.; <br /> . <br /> .. M. <br /> ..:..v.:>:: :..:.:: <br /> j: <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet) Area Landscaped (Type) (Number) <br /> _ VYitet <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed ❑ Required Water (Foo <br /> Existing ❑ <br /> Private Water q Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System L( Other ❑ <br /> Disposal E) <br /> _._......_......._... _ _. .. ._ ..._ .- ...._.. <br /> $town Dratgl .. <br /> Public Storm Service Provider Of Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Proposed❑ <br /> Existing ❑ <br /> Private Storm On-site Retention Pond(s) Cq Natural Drainage/No Change ❑ Other ❑ <br /> Drainage <br /> IsctricttTr e 8 <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P G & E onsite Pacific Bell onsite <br /> ScitOot Service s IFlre iProteatkm S�rYlcttt.. �✓//y <br /> i. <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Lodi Unified School District 4 Woodbridge 5 mi <br /> xfstiee9,Hsrada,: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Peltier 40 22 Yes❑ No fd Yes❑ No EX <br /> Lower Sacramento Road 80 26 Yes❑ No ff Yes❑ No C1 <br /> -3- <br />