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1 APPLICUSE PERMIT <br /> { SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT. <br /> oy,`►�� • FILE NUMBER. UP-. <br /> :. .. ., ..,..:, v ;.: Y_<.,.• ,:. ," -,. �tt�$tiff'�il�'oact�$� Y� � �� •-F a`" x fra x"�. <br /> Rnad/Street Name R:O.W.Width Pavement Width CurblGutter . <br /> Sidewalks <br /> I GTH t"11 LE f�vAra $�'-d i #/. 3I�''G7": Yes❑ No Yes No■ <br /> M �TAT� {�1j�rHWA 99 moo' -gat' <br /> Yes❑ No® Yes❑ No 0 <br /> r � E ENK�RONMEh1T�LL IiVFORJVIA OiV � � �" R' e��::, r 4` <br /> " t.: fJSE AQDI j tONlt PAPER`IF <br /> R, <br /> Describe <br /> � �� Wate��Drainage end�Ioddistig' �"� �,, <br /> Describe any areas subject to flooding onclude flood depths and flood panel map number): <br /> e f <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the project slte�(e.g.rivers,creeks,swales or drainage ditches): <br /> GAt4AL, N0f"-THVLN J F.5�IJNI7AF-Y OF SST <br /> Land;i and,Usa and7Blata: A..: <br /> [ -ibe the site's topography(e.g.land forms,slopes,etc.): L j <br /> f <br /> Describe agricultural land that will be lost as a result of the project(type of crops, acres,qualify of Boit,etc.): <br /> Describe any wildlife habitat on-site and species that are of may be present: N <br /> Describe any vegetation on-site by type and extent: ri� L-41 LD C, <br /> Air Quality <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 /> GoN.5-rF-136n Cn-4 1z-r'-LXT push tea r <br /> t <br /> F:IDEVSVGIPIanning Application FormslUse Permit.(Revised 1-2.03) Page 4 of 9 <br />