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SITE INFORMATION AND AUTHORIZATIONAPPLICATION <br /> " BUILDING - <br /> - � T <br /> NO Sari ,Joaquin County �� � , �. ��� �� � ��� ... �M� L LNT � <br /> r11 m u lilt ' Development D p rtm n <br /> HAzLt-TON AVENUE. 5 rOCKTON52* <br /> - <br /> �. '. �.� 1810 E Halelton AVS , Stock I o n A 95201 <br /> �-� A*:4� � �" � ��� � � � <br /> Phone X209) 468-3121 Foy; (209) 4M3163 . <br /> INSPECTION REQUE (M, ) <br /> Aadress 49,32 E ST RT 88 HY STOCKTON Cross Street NEWBY <br /> nee Name POGGIO. i0SEPH i III & KRISTIN AF'N 10102130THE " i. T TO 3APPLY FOR <br /> FILLED OUT BY <br /> fiCIT '�51 - THE APPLICATION MUST �� COMPLETELY Irl l�E. . lt <br /> BU lLDll� <br /> Pl Locition UTH T CORNER OF ST RT88 AND NEW13YO STOCKTON _ = <br /> SuOlditvisicn Name POR WESER GRANT AND POR lot# Historical Map App Soope of WON: <br /> WHITE'S SUBDIVISION - <br /> Project ,address, <br /> Right-30 Height-rt e - Left-10 I r j t Valuabon <br /> FirDistrict-- CIE , L � IOWNER hI�F NAME 1�1� ADDRESSAPP�II T � ES <br /> Use DE � E I' Tt SFR AND LA E WITH H E SSR. - -- <br /> - _-_ <br /> Name, Narno- <br /> improvement Plan T e Project Subtype <br /> MINOR GENERAL MAJOR IIIA; X Fiar�rtiirng Project . NIA Exp!, Date: � " - <br /> r . State: <br /> SPECIAL AREAS <br /> Subsrdence Area EXPA Expansive Soil Area. P - M - %D9 ) ZIP: - <br /> Fte Haar Area NODATA Alrport .Zone none CONTRACTOR INFOR TI N Ph#( <br /> - se Zone2008) ISJAFCA, no'n Lic. No: COMD3ny Name- 0 ci eildp ir- <br /> COMMENTS - Address- <br /> RELOCATE ONStTE AND ENLARGE EXISTING FF - <br /> a - DESIGNER INFORMATION <br /> h <br /> Lic- No- Company Name: 14 aa <br /> Cit <br /> ZIP- <br /> LENDING AGENCY F ( <br /> Company arise: <br /> Plan h Only Fire erred � lr� p �ti�r� Area," Address. <br /> F <br /> Date 10-03-2013 L) <br /> Permit ill be issued to ars ' rn rT'Builder' Yes L3 NO 0 OFFICIAL. usE C11%, <br /> If yes, completed Own-er-Swill r Vedf�i�abon Forums rest Idem tion � e <br /> Fat <br /> - signed and submitted <br /> PUBLIC WORKS DEPARTMENT Identiti tion Prior to issuance of the buiIdIr)g Per u.. <br /> q Sewer i to t- von t - <br /> r Ditri t_ none Storm District none <br /> DECLARATION By CONSTRUCTION PERMIT APPLICJWT <br /> FIod e <br /> Prior t Final Inspection: ' I B ray <br /> signature below, I cerlif to ria of the ailo g: - - - <br /> � t <br /> I a a Calif0� licensed contractor oths <br /> t ,rm )r inn a Pond Required on-Site PrO fi r# owner or �, <br /> behalf (requires FSP �� utI�ortzed to �r�t on e - <br /> l ' ' � r <br /> � .r til r,A .it P���f�� g lr�� �wr� �� approval �� ��rr� r���I � r �'��i��c�tic�rn F���� signedand � _�� l � <br /> Total 'o1u ne of Required Rentention Pond _ - (Required <br /> PS I have read Lhis con structian permit ,p p I ica 60n and ths lnfOmabon I hTjvr <br /> I agree to 'triply wqh all applicable county ordi kan <br /> Date, representatives s I +► t ,trnto bu9tdpn �s . kl - <br /> PreliminaryPN <br /> to enter to abov"an <br /> �La <br /> All Public Works requirements have been met and release i <br /> r ��11di� Permit Issuance. p��lir�t'� i��,�tut,ru� <br /> hereby approved +g <br /> Date <br /> aFor your converiorq hacklist-s, detailing any addiuon t sb .te are aviarlablo at the Building Drvtsi Counter ' T' �tt t -en r % u . ��� �i <br /> Public Works nApprovalSign, ture list. 100 Ptrit and mobIIe �� � �� foundation <br /> � t p* <br /> � �r� ��eco <br /> > I_Xatwon r`o <br />