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oRqutM. <br />•.r •a4 <br />APPLICATION - USE PERMIT <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />FILE NUMBER: UP - <br />BUILDINGS AND STRUCTURES <br />This information may be shown on the Site Plan <br />Structure <br />Number ` Proposed Use " Ground Floor Area <br />Highest Floor Overall Height (in Feet) <br />l <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 <br />Spaces Number <br />Compact Parking Handicap Parking Covered Parking <br />Spaces (Number) Spaces Number S aces Number <br />Total Parking Parking Lot Trees <br />S aces (Number) Numher) <br />Landscaping <br />Landscaping Area <br />(Square Feet)_Area <br />Percent of Project Street Trees <br />Landscaped_(Te <br />Street Trees Method of Irrigation <br />Number w LL <br />3 a <br />0'7 o V k P (,Vs <br />)--00 ?I -u5 SPF (W Ic. to -p, ZC k ct K <br />Water <br />Public Water Service Provider <br />Proposed ❑ <br />Existin2 ❑ <br />Annex -Formation <br />Required <br />Distance to Public <br />Water Feet <br />Private WateC4 Existing Well XJ New Weil ❑ Well Replacement ❑ <br />Sewage Disposal <br />Public Sewage Annex -Formation Distance to Public <br />Disposal Service Provider Re uired Sewer Facility <br />Proposed r-1 <br />ExisGn <br />On-site Sewage SFW Cot- T RIS A -T MCto t- Pt, A-PC4 �y4tltr Fri tr d c NsTA�t- 6^i> <br />Disposal Existing Septic System ❑ New Septic System Other ❑ <br />Storm Drainage <br />Public Stone <br />Drainage <br />Proposed ❑ <br />Service Provider (if Public) Annex -Formation <br />Required <br />Terminal Drainage <br />to: <br />Detention -Retention <br />Ponds <br />Existing ❑ <br />Private Storm <br />Drainage <br />I 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 />1' o N S r r+y ` e D ri S t't 6 <br />School Service Fire Protection Service <br />Service Provider <br />Distance to Elam <br />School Service Provider <br />Distance to Fire Station <br />MA►T&CA U lit File t> <br />4- M tLiS PREt-cff eo tlp rtotistar, <br />3 141 td tf-s <br />FADEVSVGNPlanning Application FurmsYDse Permit. (Revised 6-43-04) Page 3 of 9 <br />