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APPLICATION - USE PERMIT <br /> �. . .. <br /> SAN,lOAQUiN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> Al <br /> Ci�p'R <br /> q n fte ayr 4 <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 /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces Number Spaces Number Spaces Number S aces Number Spaces <br /> Number Number <br /> Landscaping Area Percent of Project Street Trees Street Trees" Method of Irrigation <br /> (Square Feet Area Landscaped a Number <br /> �it l <br /> 4 <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existin <br /> Private Water ExistingWell New Well ❑ Well Re Iacement ❑ <br /> 247JMW X,kr <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <br /> On-site See <br /> Dis salwa Existing Septic System ❑ New Septic System Im Other ❑ <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> On-site Retention Pond(s) Natural Drainage/No Change <br /> Other ❑ <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> Qct �STIN.G $T �xG�r'1N6 <br /> h 1WHEM <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> �O 3 tit '<�D <br /> 1 FADEVS=PIanning Appfscawn Forrnswse Permit.(Revised 02-03-10) Page 3 of 9 <br />