"1
<br /> APPLICATION- SITE APPROVAL
<br /> 1, ff
<br /> SAN JOAQyyUINCOUNTY COMMUNITYDEVELOPMENTDEPARTMENT
<br /> }� 't r`'H �` l ; 6 f ib 1 M��'fiy i it d{d"f•b:l.xrd�.�f l '!a.11l, i�! �E��.Ir 164 b�,l'�l �-y. -(i....,
<br /> ,,If,4 t
<br /> Att�l.
<br /> an t
<br /> • 'o a ai•m � ownlo�,t�S�•aiP „� {�!•� •� ) _."i?u.
<br /> Structure Number' Proposed Uae'•
<br /> Ground Floor Area Highest Floor Overall Height(in
<br /> tear
<br /> 2- 1A0 61-)
<br /> The'svuch7ro number'should be used In Identifying the structure on the Slte Plan.
<br /> If there are two or more proposed uses In a building,make separate llsllngs for each use. For residential projects,state the number of
<br /> units In each structure.
<br /> G5Y'Iu�Ji,� �•lJ�r,ti�VA.b)}4•l�uf 5.�1:• ���•ve -kl.'r l: r. , ,�,
<br /> I?�,$ a iay,,QAit" d�bidlr,6i,� 14 ;4'E5t(1�.t SfTE MPROVFM�NTSrAND SERVICES'""'
<br /> 4}�., ,�}�i.,,. ,E li��+ , tilµ bl�i.,M '� t4,� !�� 5YU �•i`' I � V,�Yd l
<br /> kph:,+ .« � ,k.415 ��, ,f�'�� � VJ14 /'{ly{'G1f.�J��[�. c,�5• kY s^+�� t� ,
<br /> 1�...».. p Ir-E •�'�Jtilll�t !rt1��cl5tY i 4"ERx ��lmc r'ri�4` 9 nr7i..y'yF f.xtW
<br /> 41/r eQr
<br /> Full-size Parking Compact Parking HandicapParkin
<br /> S aces Number S aces Number g Covered Parking Total Parkin
<br /> S scos Number_ Spaces(Number) Spaces Number Parking Lot Trees
<br /> (Number) (Number
<br /> —
<br /> � �. ..'1 x.,.tt .:il"1St i �7� i t'-i .,;i.l t, ii•�; ��f ':.
<br /> ' Londsca In '• ,,�'
<br /> Landscaping Area Percent of Project
<br /> (S uara FaetLandscaped
<br /> j Street Trees Street Troos
<br /> Area Landsca ed (T e) Motlmod oflrrlgatlon
<br /> (Number)
<br /> c
<br /> e,
<br /> 1.
<br /> Public Water
<br /> Proposed O Service Provider Annex-Formatlon
<br /> Existing L7 Distance to Public
<br /> Required Water(Feat)
<br /> Private Wafor O -- ----_-—"-- —- - - --
<br /> Ex/sting Well'1� ---
<br /> /\ Now Well O
<br /> Well Re /acemenf O
<br /> WOR
<br /> Pub/lc Sewage + 14
<br /> Dlaposal Service Provider Annex-Formatlon
<br /> Proposed O Distance to Public
<br /> Existing p Required Sewer Faclllty
<br /> On-site Sowage Existing Septic Sysfwn
<br /> D/spo$a/O / Now Soptic System L7
<br /> Other D
<br /> Public Storm
<br /> Drainage Service Provider(1I Public)
<br /> Annex-Formatlon Terminal Drainage
<br /> Proposed O Required g Detention Retention
<br /> Existing O to. Ponds
<br /> Private Storm
<br /> Drainage O On-s/(0 Retention Pond(s) D
<br /> Natural
<br /> Drama
<br /> g No
<br /> Other
<br /> ii,, �telBCrrrClr J,i,� ;! r
<br /> d
<br /> Other O
<br /> . 1 DYJ Orl t �f{' �j} rr' � Ijti� itrty
<br /> 5��n���`r/'�%!11?'�It{
<br /> Service Provider J 1j1,1/7^i f,4• y' tE{?. j1Ja1
<br /> Distance to Service
<br /> Service Provldor Distance to Service
<br /> School Sorvice
<br /> Pro Protoction Sorvlco
<br /> Sory/co ProviderDlslanco to Shan
<br /> � School Servlco Provldor y/m( Dlslanco to Fire
<br /> n 7 �; -✓ (' Station
<br /> 1 .
<br /> r.
<br /> Road/Street Name bx 1h�,) l?y I�!.6,I:•f,G6 11 p� �'i t f `N."A
<br /> R-0. Width Pavement Width
<br /> Curb/Gutter Sidewalks
<br /> 0
<br /> Yes O No
<br /> 1 Yes O No
<br /> y,
<br /> Yes D No O Yes p No D
<br />
|