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otQ�t�. APPLICATION — USE PERMIT <br /> ..o <br /> SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> oI < <br /> FILE NUMBER: UP- <br /> BUILDINGS AND STRUCTURES <br /> This Into Win may be shown on the Site Plan <br /> Structure <br /> NumberProposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> SEE ATTACHED PLAN <br /> The"structure numbed'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 /> OHStrert Parking <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> S aces Number S aces Number S aces Number S aces Number <br /> Spaces Number Number <br /> EXISTING FAC LITY 1476 TOTAL INCLUDING 10 H/C <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> S uare Feet Area Landscaped (Type) Number <br /> EXISTING FACI ITY <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider R uired Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> Private Water❑ Existing Well 13X New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Ann tion Distance to Public <br /> Disposal Service Provider R uired Sewer Facility <br /> Proposed❑ <br /> Existing❑ <br /> On-site Sewage <br /> Dis osal❑ <br /> Existing Septic System New Septic S tem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation =Te�iinage Detention-Retention <br /> Proposed❑ Required <br /> Ponds <br /> Existing❑ <br /> Private Storm ,,fi�tt <br /> Drainage❑ On-site Retention Pond s C7- Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E AT&T <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> LODI UNIFIED i WOODBRIDGE <br /> F:\DEVSVC\Planning Apphi h.n Forms\Use Parmd (Fevlsed 02-03-10) Page 3 of 9 <br />