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APPLICATION - _ ITE APPROVAL SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: SA-____ �/FORe� BUILDINGS AND STRUCTURES his information may be shown on the Site Plan Structure Number' Proposed Use'" Ground Floor Area Highest Floor Overall Height(in feet) ZA ' The"structure number"should be used in identifying the structure on the Site Plan. "If there are two or more proposed uses in a building, make separate listings for each use. For residential projects, state the number of units in each structure. SITE IMPROVEMENTS AND SERVICES Off-Street Parking Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees Spaces Number Spaces Number Spaces Number Spaces Number Spaces Number Number Landscaping Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation (Square Feet Area Landscaped (Type) Number Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ �, 1 G�� ExistingV❑ I Private Water❑ Existing Well '❑ New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ I V Existin ❑ On-site Sewage Disposal ❑ isting Septic System ❑ New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑ Private Storm Drainage❑ On-site Retention Pond s ❑ Natural Drainage/No Change ❑ Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service . 0 S• 3 School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station _k;W b r i F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 6-03-04) Page 3 of 9