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i <br /> A <br /> APPLICATIN - USE PERMIT <br /> SAN .30AQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: 1UP- - l <br /> BUlLINGS AND STRUCTURES. <br /> (This information MaV be shown on the Site Plan <br /> Structure <br /> Number* Proposed Use Ground Flo <br /> Area Highest Floor Overall Height(in feet) <br /> Z - w,io PX 5- <br /> r <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 /> i number of units in each structure. <br /> SITE'IMPROVEMENTS AND SERVICES <br /> Off=Street Parking <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Sp aces Number Spaces Number Spaces Number Spaces Number Spec s Number Number <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped a Number <br /> 37 <br /> Water - <br /> Annex-Formation Distance to Public <br /> Publlc Water Service Provider <br /> Required Water Feet <br /> Proposed❑ <br /> Existing ❑ <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> i <br /> Existing ❑ <br /> On-site Sewage <br /> Dis osal ❑ Existin Se tic System New Se tic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing❑ <br /> Private Stora <br /> Drainage On-site Retention Ponds Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to, <br /> Service Provider Service Service Provider Distance to Service <br /> p � <br /> ! &A7 :6 c 51 (n, It ey, <br /> ( n <br /> i School Seh ice Fire Protee ' n Service <br /> Distance to Elem <br /> Service ProviderSchool Service Provider Distance to Fire Station <br /> fty 113,4 <br /> F:IDEVSVCSPlanning Application Forms\Use Permit. (Revised 1-2-03) Page 3 Of 9' <br /> 3 <br /> it <br />