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°� eo <br /> COUNTY OF SAN JOAQUIN FRITZ BUCHMAN <br /> • '• DEPARTMENT OF PUBLIC WORKS Deputy Director <br /> v P.O.BOX 1810- 1810 E.HAZELTON AVENUE MIKE SELLING <br /> ff k oN STOCKTON,CALIFORNIA 95205 Deputy Director <br /> (209)468-3000 FAX(209)468-9324 JIM STONE <br /> www.sjgov.org/pubworks DeDirector <br /> ROGERDANES <br /> Business Administrator <br /> Activity#: PS-1501953 <br /> Issue Date: 07/16/2015 <br /> BUILDING PERMIT RELEASE FORM <br /> PROJECT APPLICANT <br /> APN 25331005 Quad: SW Name <br /> Address 4609 W DURHAM FERRY RD Address <br /> TRAC,CA 95304 City <br /> Telephone Telephone <br /> PROJECT NAME/PA#: <br /> PROJECT DESCRIPTION: FARM EMPLOYEE HOUSING <br /> FLOOD HAZARD INFORMATION: <br /> Zone: C COMMUNITY PANEL: 060299- DATE: <br /> ❑ This site is not located within a Federal Flood Insurance Rate map Designated Flood Hazard Area. <br /> ❑ This site is located within a Federal Flood insurance Rate map Designated Flood Hazard Area. <br /> The 100-Year Flood Elevation will be approximately 0 feet NGV D. <br /> The 100-Year Flood Depth will be approximately 0 foot/feet above natural ground elevation. <br /> nX Finished Floor is EXEMPT from 100-Year Flood Elevation. <br /> IMPROVEMENT PLANS REQUIRED <br /> r <br /> CALTRANS PERMIT REQUIRED <br /> RECLAMATION DISTRICT REQUIRED <br /> ON-SITE DRAINAGE(RESIDENTIAL) REQUIRED <br /> RESIDENTIAL DRIVEWAYONLY: <br /> DPaved or Concrete Drivetvay(s)required prior to final occupancy. I acknowledge the Driveway(s)rvi/l be paved as required <br /> by the Encroachment Permit(EP)and inspected by the Department of Public Worksprior to the Final Building Inspection. <br /> A TEMPORARY GRAVEL DRI VE WAYAPPRAOCH SHALL BE CONSTRUCTED PRIOR TO STARTING BUILDING <br /> CONSTRUCTION. <br /> FXJI acknowledge that the existing driveway is paved with Concrete or Asphalt Concrete, therefore an Encroachment Permit <br /> (EP)is not required <br /> F-]Nai Applicable. <br /> a <br /> APPLICANT SIGNATURE-TITLE: .J L DATE: I� ' <br /> The Department of Public Works hereby authorizes the issuance of the Building Permit as noted above and that all the required fees and <br /> conditions have been satisfied. <br /> Approved By: y `f DATE: �4'' <br />