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4200/4300 - Liquid Waste/Water Well Permits
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5700 PA-1000295
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Last modified
1/30/2019 1:15:47 PM
Creation date
12/4/2017 5:42:35 PM
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EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
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\MIGRATIONS\C\CHEROKEE\5700\5700 PA-1000295.PDF
QuestysRecordID
2632416
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EHD - Public
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I 1 tttR! i5C4 d ' r 14" yea 5'0 l) 4' a �2" 1 2ertt N I :► <br /> r-4 <br /> _ i" -i3' ;�8� .� >rt �� , �e rttrt <br /> If "' <br /> - <br /> a% ImAVISa s Itt�,�t c�J "Ch i;`-it N, stinip unless approved by the Director of Environmental <br />( +4l't 4 4.f IW wvN *rw Vgi,s r*J <br /> w si to mo: P* "A <br />;wl taw .s1100 to Pdal'e 01 pAa *Avw ftr One f1m rttrsril: al the 1 610 wing, e,4 <br /> V IV Pat t r,'l "49W tttldiw <br /> obop >ftd tw $01% Or row" 01 vwumate o1 sump Pe 1 <br /> e eAk-OW OAMW pn►wrnt 9W use o1 a drill ngy- <br /> „puirY.. <br /> *` SIT AI,JI tt RtZP«TI fi�i <br /> San Joaquin County <br /> l .- ��� Community Development Deprartment <br /> - - — BUILDING PERMIT APPLICg7![7� fw1 �I ` ; «,4E Kw.manJK.0 36O' CA 662Q' <br /> 4iwgS4' Pnou193 �a63g7� � t+ 117�b� <br /> 5AN JOAQUIN COUNTY CONINFUNITY DEVELr7PMENT DLPAFA NT <br /> ,y littiy C-. HAZELTON AVENUE, STOCKTt]N CA 45205 <br /> BUSINESS RF40NE: {xtl9l a68iZi Job Site Address 5700 E CHEROKEE ROAD STOCKTON Cross Sue+rt 11[31i1ER AVENUE <br /> E" Owner Name BENDER, MICHAEL C AP OtI'r0�136 <br /> INSPECTION IZE€2UE5 r-2l HOUR RECORDER: t2U4) 468-3165 Owner Address 5700 CHEROKEE RD, STO�CKTON CA 9521 "3-1111 <br /> ---- — — Precise Location SOUTH SIDE OF CHEROKEE ROAD. 9o4 FEET 'EAST OF HOMER AVENUE <br /> Subdivision Name brats Fiawlcaik �D At>Q a ---- <br /> TM'Ir AP'PLlC4T Nt MIST BE C)&lPLETE�IlIL[]IED OURNIITSFIC ApFLIGANT IN ORDER TO APPLY F[]R <br /> t 11111 -6 10 <br /> SronR ! <br /> Current Zonin R-L 11I <br /> - -- <br /> IF we 04Vx1_ WA7ERI.C?OMDRADA <br /> �.-�pe �r 41i +� _ School Dlstriets. LINDEN UNIFIED, LINDENUNIFIED - -- <br />.� - <br />�.+ A;.+ ._ �� Approved Use CHANGE NON CONFORMING USE TO ANOTHER NON Cc)NFtyRtrlitl'iG USE b A1~lA UPGRADESTO - <br /> Contacl E-mail: RESTROOM <br /> c31NI�iER NAME AND DRESS APPLICANT NAME AND ADDRESS Project Subtype SA <br /> Improvement Plan. T e > <br /> = MAJOR NdA: Q 'Planning Project # PA-1000. 295 TExp Date <br /> Name: MINOR:: �% GENERAL 09l1t3x201�J a <br /> .�----- Address: <br /> Ate' SPECIAL AREAS <br /> State: Expansive Soil Area 'EXPA <br /> Mate. CitySubsidence Area EXPA <br /> Ph#{ ) Fire Hazard Area. NDDATA Airport Zane nava <br /> ZIP- <br /> .L1 F <br /> IP-ZrP Enter rise Zone. tN 2008 <br /> CONTRACTOR INFORMATION <br /> COMMENTS <br /> LC No. Campsny Name: - <br /> Si: ZIP: <br /> City <br /> 30 <br /> A � <br /> DESIGNER INFORMATION Ph#{ <br /> _ a <br /> Company Name: - <br /> L": N1 St: ZIP: <br /> City. — - <br /> Ph#( ) <br /> LENDING AGENCY I <br /> - <br /> Pian Check Only <br /> Fire Road Required r7speCtion Area 2C �* <br /> w <br /> C,a-yt�ry Vie: St- ZIP: 'Date 09-tt8-2013 , <br /> City' Planning Approval 4 �� <br /> - OFFICIAL USE +ONLYto <br /> py..Tw %tel be Issued to an " "neer-BUilder' Yes ® No � ldentifcatfara Number: PUBLIC 'WORKS DEPARTMENT - � <br /> y+as s e ;ate Owner-wilder Verification I orm rrla�st a <br /> ��d cur* 51r[ttd alarrg With y of the owner's <br /> be p9ned to issuance of the bui.ldrng permit. Sewer 'Dis'trict. trona Water Distract: Wane Storm District none <br /> �Vfacatpori I VI <br /> DECLARATION BY CONSTRUCTIC]N PERMIT APPLICANT Flood Certificate Required Prior to Finall Inspection: Yes C] No <br /> i <br /> t <br /> Storm Drainage Pond Required On-Site Yes [D N4 �} <br /> py My s nXure below, I cer&y <br /> to one of the fa11a',ving: Re aired for Ail On-Site Ponds <br /> 1 &M 0 & Gaflf.omla llcensed contractor or [] the property <br /> owner or D authorized to act on the property owner <br /> s Total Valumne of Required Rentention 'Pond Q <br /> b" (roquires wvrtlten approval and OwneriBuifder Verification Form signed and submitted). PS — - <br /> application and the information I have provided is correct. _ flare <br /> I �►� rasdti taRis ca�str`r,+��n permit app Preliminary Plan Check Clearance Approval: .�- <br /> >w+tl1 I;l ap at+le county ordinances and state laws relating to building construction- I authorize Ali Public Warks requirements have been met and reteas+e is <br /> I <br /> r� -;ass es ©f „sis , or coun y, to <br /> enter the above-idents+ed property far inspection purpose . hereby approved for Eiuiiding. Pertnft issuance . <br /> 1 <br /> Date Date <br /> Public Works Approval Signature -- � <br /> +nvsnryrrx.a choc lists dot:aihng any additional submittal requirernt rats for foundation require checbuilding permit types — - <br />� � , at UW Building @Misiora counter. Demolition permit and mobile hams an FL �Iiiiiiixiiiipvi <br /> fir'' f� � i�ViAa1DDl/T�'1�llw'1� P� gpnk+eat�an dxPage i of 2 <br /> MIM frA 4 • rCe, eau -- — <br /> UE�r Inettttltxe lot '+�t`s, <br /> and rrrirribrip Is more Wit). <br /> prew-Dent In c,IIlWrea <br />
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