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APPLICATION- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDINGS AND STRUCTURES <br /> This Information maybe shown on the Site Plan) <br /> Snucfure NumberProposed Use" Ground Flow Area Highest Floor Overall Height(in <br /> �tiGJ'J�A' fee <br /> It j5Lo <br /> ofp(ce — D0 <br /> The'structure numbei should be used/n 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 number of <br /> units In each structure. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Off-Street Parkin <br /> Full sire Parking Compact Parking Handicap Parking Covered ParkingTotal Parking Parking Lot Trees <br /> Spaces Number Spaces Number Spaces(Number) Spaces(Number) 5 aces(Number) (Number) <br /> Lands caping <br /> PfS <br /> dscapingArea Percent ofPro/ect StreetTreeshod of Irrigation <br /> uare Area <br /> Area Landscaped (Ty eJ (Number) <br /> Water <br /> Public Wafer ServIce Provider Annex-Formation Distance to Public <br /> Proposed q Required Water(Feet) <br /> Ex/sting( <br /> 11161 o?Victor Walt-,-qtr !- <br /> Private Wafer❑ F Existing Well ❑ New Well ❑ Well Re lacement ❑ <br /> Sewage Dls osal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Proposed❑ <br /> Existing <br /> On-slte Sewa a Existing Septic System ❑ New Septic System 13Other ❑ <br /> DIs os al <br /> Storm Omina e <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Required to: Ponds <br /> Propose <br /> Exislln <br /> < if'Cf9TI�'ilf wyf <br /> Private St\�o\rrm On-site Retention Pond(s),' Natural DralnagelNo Change ❑ Other CIDrama W <br /> Elechiclt Tel hone Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> b 7G 71c5 'E1cc�yic GG1 bell <br /> School Service Fire Protection Service <br /> Scrvlce Provider D.'slanLa to Elou; Sarvice Plavidcr-' '- Distance to Fire <br /> School I Station <br /> Luji ini��l( ` f r ►1�t u o�OLurnn� rL ICS s. c'L vo <br /> Exlstin Roads <br /> ROMPS~Name R.O.W Width Pavement Width Curb/Gutter Sidewalks <br /> 12 Yes❑ No[� Yes❑ No <br /> ow 9-fre'a Yes 0 No Yes 0 No <br />