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Aot� Plan Application 3 <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> Owner's Name A.P.N. <br /> Address Subd.name •� - <br /> City <br /> map a <br /> _ �•- e/ / Zip phone bl/lot x <br /> / J Tt /7`D <br /> Applicant's C <br /> ant'sName� nl ,♦/ - -_ Census Tr. ' <br /> r1 ontractor p Owner Setback: h 11 r sy ACC <br /> Address \\��G /i�E.a ryC.✓ sYfront <br /> /�\ f <br /> City_✓ �lf�r J u� 0 (1' <br /> —. - zip x,2.0 7 phone9�'j E'Z 3 left <br /> - right <br /> Precise location of proodrty' n�..• rt, <br /> rear--�V-- <br /> Yes No <br /> Structure address_S b Zia sewers <br /> /� 1 / water system_O <br /> Proposed use of structure($) C S/rb'C.✓r 1L o, c/ 7-Ce- drainage system_CD <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines a <br /> (a)The lot or parcel involved,showing shape i dimensions (f)Irrigation or drainages ditches,waterways and drat <br /> (b) Abutting streets and other right-of-way and/er easements (g)Location of existingand y �e chmeng Meas <br /> (c)The locations of all existing building and distaste$to lot tines proposed driveways and encroachments <br /> Id)The locations W existingand (h)Levees,with the crown shown <br /> proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> �'8e8 Poiat'>•eia.OiiY i { .. �___ .y - <br /> i- <br /> -� North <br /> _ . <br /> - ...- <br /> Sit <br /> IX <br /> - - i <br /> -- <br /> t <br /> Property for which the APPROVAL is sought is described as above - t <br /> plicant certifies that the a and that all existing structures on the Property are <br /> own On the above plot plan. 8 D a Y <br /> to �- <br /> Applicant's Signature ' ✓- <br /> i <br /> 'LANNING DIV, 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT, 1810 E,Hars Ave. LOCAL HEALTH DISTRICT <br /> I• oDer�r ty meets zonIng.requirements for both .PROPOSAL APP W VED SUBJECr� - <br /> use and construction ENVIRONMENTAL HEALTH DIVISION <br /> A. Encroachment Permit required 't 1601 E.Hazelton Avenue j <br /> Yea No torte Q e' S B, Surface drainage established as shown <br /> SPECIALCONDITIONS L.PROPOSAL APPROVED SUBJECT T0: <br /> C. Fees <br /> A.School drshkt Ise�� A.Obtaining sanitation permit <br /> a.Connection Fee <br /> B. Floodway as shown O B.Obtain well/pump permit <br /> C.Flood fringe b, �y �—�-- l� C.Change noted <br /> D.Noise impact Cm <br /> ED 2.REMARKS �d S C/iG r. 2 PROPOSAL DENIED Q <br /> PARCEL ;P NO f I3.REMARKS i-iLAC <br /> REMARKS date by �v. <br /> A S <br /> FLOOD CONTROL: da date.A p�-1=-�by n,n <br /> date I by by j .. <br /> ® BLDG. {NSP. a uses <br /> 10t Plan Valid Unti <br /> kcA <br /> c--s YT f <br />