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APPLICATION - SITE APPROVAL <br /> pia <br /> S OAQU�• <br /> AN J IN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT t <br /> r• FILE NUMBER: SA- <br /> BUILDINGS AND STRUCTURES <br /> This Infonnationma be shown on the Site Plan <br /> Structure <br /> Number* Proposed Use"' Ground Floor Area Highest Floor Overall Height(in feet) <br /> t . <br /> t <br /> E. <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 I.; <br /> Et.tomOff-Street parkig9. <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> f <br /> Spaces Number Spaces Number Spaces Number Spaces Number Spaces Number Number <br /> I p / rA- <br /> landscapIng------------- <br /> :` <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped (Type) Number <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ r, <br /> Existing ❑ IAN <br /> � —� <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> :::.... :'Sewage Disposal..:: <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> Existing❑ X%,� t�rC <br /> On-site Sewage <br /> DiS22sal❑ Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage::..: <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed E] Re uired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Draina e❑ On-site Retention Pond s) ❑ Natural Drainage/No Chane Other ❑ <br /> Electrlclty Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> Schaal Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire„Station <br /> 1 <br /> F:IDEVSVIMPlanning Application Forms\Site Approval.(Revised 02-0a-10) Page 3 of 9 <br /> I <br />