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ot4�l�. APPLICATION - USE PERMIT <br /> lip <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> C�aoRN <br /> BUILDINGS AND STRUCTURES <br /> This information may be shown on the Site Plan <br /> Structure <br /> Number* Proposed Use** Ground Floor Area Highest Floor Overall Height(in feet) <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 <br /> Off-Street Parking <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces Number Spaces Number Spaces Number S aces Number S aces Number Number <br /> fQ <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees St=s Method of Irrigation <br /> (Square Feet Area Landscaped T e Number <br /> +y � <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ g .n <br /> Existing,©. 3 ,y t <br /> Private Water❑ Existin 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 /> Existin ,❑ <br /> On-site Sewa e <br /> Disposal 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❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage®, On-site Retention Ponds ❑ Natural Drainage/No Chane [Sf Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> & 4,- FA 14- ;r- <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> � }} Sel!rvrrice Provider School Service Provider Distance to Fire Station <br /> lVdw! FfB � t htr/t �1(t�l"�I� OV1 h-�'.'tCi•� 'I-''r'� r✓!o' ��. <br /> POEVSVMPlanning Application Fonns\Use Permit.(Revised 02-03-10) Page 3 of 9 <br />