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<. <br /> � Y <br /> r <br /> _, <br /> Plot Plan Application <br /> SAN JQAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N. <br /> Owner's Name 5; ^►— �" Subd.name /03�''� <br /> tl <br /> Address `1 <br /> /4- map# <br /> City 44 Zip phon�z • bl/lot tt <br /> 7 77 <br /> Applicant's Name Census Tr. <br /> 0 Contractor Owner Setback: <br /> front j <br /> Address. ---- - Z____ <br /> City left <br /> Zip phone <br /> -- — --- right ��,n <br /> Prepjse location of property rear /, <br /> No <br /> ! �!''��'c + C./. sewers 0 r <br /> Structure addre Swater system D D d,,l�• <br /> Proposed use of structures) / drainage system_ 0 ✓ <br /> DRAW (e) Location of minimum sewilke disposal area for septic tank and leach lines <br /> (a) The lot or parcel involved, showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of-way and/or easements (g) 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 /> ... _ ry <br /> orth <br /> _ . . . <br /> J <br /> { PAT .} <br /> I i p <br /> 4...4....._..._.v.... <br /> .:- <br /> "`....,....( (. .... t <br /> Y <br /> _1 <br /> - <br /> .' � <br /> , <br /> ; <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structure?tin the property are <br /> shown on the above plot plan. <br /> Date A <br /> pplicant's Signature <br /> • PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. 'LOCAL HEALTH DISTRICT <br /> 1. Property meets zoning requirements for both 1. PROPOSAL APPROVED SUBJECT TO: i ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> Yes O N Zone B. Surface drainage established ass 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL NDITIONS Qr,tA C. Fees A.Obtaining sanitation permit— <br /> A. School district fee .-- 0 a. Connection Fee B. Obtain well/pump permit <br /> B. Floodway as shownL"a" b. Buy-in-fee C. Change noted <br /> C. Flood fringe. 2. REMARKS 2. PROPOSAL DENIED <br /> D. Noise impact � � <br /> 3. PARCEL MAP NO. 3. REMARKS <br /> .: _ Aj <br /> y... <br /> 4.REMARKS date v <br /> ,c•- FLOOD CONTROL: date. �_�A <br /> OVP <br /> date�" (E t by by , ® @L,pG. P. 1 /83 <br /> VC <br /> Plot Plan Valid Until 7 <br />