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Plot Plan Application <br /> SAN_JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING.INSPECTION <br /> Owner's Name ;! r <br /> Subd.name <br /> Address � ,, 4 /+ ^ p�/ map u ,.: <br /> city—z.,Q ` g zip ,r-�-•-1' inn phoney��JCLi4 bl/Iota ' n lXg <br /> Applicant's Name- r-r e n rf,-e- G("i' 5a 4t-)S Census Tr. <br /> ractor <br /> ContOwner Setback: V <br /> Address. � front �2(`I ' <br /> City Zip 7 S� YO phare -/l/d rigt rI` <br /> ht <br /> Precise location of property t .n h 11 f°1' Y e2y)I rear_ J <br /> Yes No . <br /> Structure address (� sewers p ` <br /> water system_p ' <br /> Proposed use of structure(s) '— drainage system_p <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot or pares)Involved,showing shape i dimensions (f)Irrigation or drainages ditches,waterways and drainage ponlding areas " <br /> (b)Abutting streets and other right-ot-way and/or easements (a)Location of existing and proposed driveways and encroachments <br /> (c)The locations of all existing building and distances to lot lines (h)Levees,with the crown shown <br /> (d)The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> F rt <br /> k _. <br /> - North <br /> +-� <br /> 'r j-• I .. j.-., .STT- _._.... ._._. _ _. {�. <br /> r ' <br /> r { r <br /> 14- <br /> 71 <br /> l _ <br /> r - 4 j <br /> T <br /> tat <br /> 1 <br /> f � • - - <br /> v <br /> • <br /> -�— <br /> _ - <br /> -�.-� <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> shown on the above plot plan. <br /> Data PL •RT5'. Applicant's Signature qua,jC <br /> • r <br /> •PLANNING DIV. 1810 E.Hazelton Avenue *PUBLIC WORKS DEPT. 1810E Hazeltd0b0 Ave. a LOCAL HEALTH DISTRICT <br /> ope�ti zoning requirements for both PROPOSAL APPR VED SUBJE ENVIRONMENTAL HEALTH DIVISION <br /> use end traction Ii A. Encroachment Permit required r-11601 E.Hazelton Avenue <br /> Yes No p Zane r-:�}� B.Surface drainage established as shown p 1.PROPOSAL APPROVED SUBJECT TO: 4. <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit <br /> A.School district1rr <br /> fee C 1 a.Connection Fee p B.Obtain well/pump permit <br /> B. CD <br /> Floodway as b. Buy*' -tee 0 C.Change noted <br /> C.Flood fringe'- O 2.REMARKS - S /°� <br /> 0,Nofas 1 C t��-�--0 2.PROPOSAL DENIED <br /> mpeCt.r• � � 3 REMARKS <br /> 3.PARCEL MAP NO. r�"[l�CT� date <br /> 4.REMARKS`~L! <br /> FLOOD CONTROL:date date \ <br /> da S by <br /> by ® BLDG.INSP. 14(e/63 , <br /> Plot Plan Valid Un <br /> _.. <br /> TV <br />