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n COUNTY OF SAN JOAQUIN FRITZ BUCHMAN <br /> t. DEPARTMENT OF PUBLIC WORKS Deputy <br /> Director <br /> `v P.O.BOX 1810- 1810 E.HAZELTON AVENUE MIKE SELLING <br /> lKQse� STOCKTON,CALIFORNIA 95205 Deputy Director <br /> (209)468-3000 FAX(209)468-9324 JIM STONE <br /> www.sjgov.org/pubworks Deputy DI <br /> rector ROGER JANENES <br /> Business Administrator <br /> Activity#: PS-1500481 <br /> Issue Date: 03/03/2015 <br /> BUILDING PERMIT RELEASE FORM <br /> PROJECT APPLICANT <br /> APN 08912011 Quad:NE Name KATICICH,MATT P TR <br /> Address 10993 E FAIRCHILD IN Address 1101 W WALNUT ST <br /> STOC,CA 95215 City STOCKTON CA 95203- <br /> Telephone Telephone <br /> PROJECT NAME/PA#: <br /> PROJECT DESCRIPTION: NEW SFR MH ON PERM FOUNDATION <br /> I <br /> FLOOD HAZARD INFORMATION: <br /> Zone:X COMMUNITY PANEL: 060299-0345F 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 NGVD. <br /> The 100-Year Flood Depth will be approximately 0 foot/feet above natural ground elevation. <br /> �X Finished Floor is EXEMPT fi om 100-Year Flood Elevation. <br /> IMPROVEMENT PLANS REQUIRED <br /> CALTRANS PERMIT REQUIRED <br /> RECLAMATION DISTRICT REQUIRED <br /> ON-SITE DRAINAGE(RESIDENTIAL) REQUIRED <br /> RESIDENTIAL DRIVEWAY ONLY. <br /> ❑X Paved or Concrete Driveway(s)required prior to find/occupancy. I acknowledge the Driveway(s)will be paved as required <br /> by the Encroachment Permit(EP)and inspected by the Department of Public Works prior to the Final Building Inspection. <br /> A TEMPORARYGRAVEL DRIVEWAYAPPRAOCH SHALL BE CONSTRUCTED PRIOR TO STARTING BUILDING <br /> CONSTRUCTION. <br /> ❑I acknowledge that the existing driveway is paved with Concrete or Asphalt Concrete, therefore an Encroachment Permit <br /> (EP)is not required. <br /> Not Applicable. <br /> APPLICANT SIGNATURE-TITLE: a 4- 1 DATE: 3P <br /> The Department of Public Works hereby authorizes the issuance ofthe Building Permit as noted above and that all therequired fees and <br /> conditions have been satisfied. <br /> Approved By: DATE: _3'(j <br />