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APPLICATION .. SITE APPROVAL <br /> �-... . <br /> $AN.JOAdum couNTY commuNiTY DEVELOPMENT DEPARTMENT <br /> fILE NUIU�BER 5A- - <br /> - Y <br /> RoadlStreet Name #� 'W With Pdvemerit VStrdif� ; CurbiGtj3ter Srdev Ik$ <br /> Yes No Yes L7 No <br /> Yes[] No YeS 0 09:0 <br /> r <br /> Describe.any areas subject to flooding{include flood depths anis fk 'panel map-number): <br /> ' Describe the current depth of the ground water and depth to potable water ' <br /> F . <br /> Describe any existing drainage courses or eroded areas-on or near the project site(e.g_rivers,creeks,swales or drainage ditches): <br /> b fq e <br /> 6ncf,a'n"d Use-and;Biota. . <br /> Describe the site's topography(e.g.land forms,slopes,etc_): <br /> Describe agricultural land that vdfl be lost as a result of the project(type of crops,acres,quality of soil,etc.): <br /> 4 <br /> fDescribe any wildlife habitat on-site and species that are of may be present: <br /> Describe any vegetation on-site by type and extent: <br /> Air Duality <br /> Describe air pollutants that may result from the project(e.g.construction related dust,vehicle trips per day,fire places,incinerators, <br /> etc.): <br /> =:1DEVSVCT1anning Applicafion FormslSde Approval.(Revised 1-3-03) Page 4 of 9 <br />