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Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMFNi QF►[ANNIN6 AND BUILDING INSPECTION I• <br /> A.P.N. <br /> Owner's Name .1 R po pP Lfc w fcu- l ;T; <br /> Subd.name <br /> +Address ail I I ALP)N e <br /> map a •. <br /> City. STo r%L-r ji Zip q 2 U_4 phone 531 1,32-1 bl/lot a <br /> f� <br /> Census Tr. <br /> t Applkant'sName J R ��Qo.Pp�Ewau I `+ <br /> i p contractor ®Owner Setback: <br /> i Address S N Q n,c (1 n front <br /> j <br /> i City Zip 9 C o r•' phone 9'ir L i 2 L left t:. <br /> right <br /> t Precise location of property <br /> rear <br /> Yes No <br /> Structure address 5766 AI 1,t PrM (1 o sewers <br /> O Cl : <br /> d water system_p M <br /> Proposed use of structure(s) drainage system_Q [] <br /> DRAW (s)Location of minimum sewage disposal area for septic tank and leach lines r <br /> (a)The lot or parcel Involved,showing shape i dimensions (f)Irrigation or drainages ditches,waterways and drainage ponding areas S. <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 arai distances to lot lines (h)Levees,with the cram shown <br /> (d)The locations of exists and septic tanks aril wells DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> N proposed <br /> + --•we. ► <br /> f North <br /> i <br /> f ' <br /> _ <br /> - <br /> _J_._.._.__,_ <br /> -7777--_ . ..,. j. - <br /> -4 , <br /> t . 4, <br /> ;T - <br /> _ rt_ . ._ _ - _.. - <br /> _ <br /> _.—. .-. _...- _ •-L__.._- - <br /> 7-4 <br /> ,T. <br /> -zt <br /> --- � _ <br /> f. <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 i <br /> shown on the above plot plan. / <br /> Date-. L -. 1 Applicant's Signature <br /> •PLANNING DIV. 1810 E.Haaelten Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> Property meets zoning requiromMtts for both I.PROPOSAL APPROVED SUBJECT 0: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required � 1601 E.Hazelton Avenue <br /> Yes ©© No 0 Zone B.Surface drainage established as shown C3 I.PROPOSAL APPROVED SUBJECT T0: r .. <br /> 2.SPECIAL CONDITIONS C.Fees A.Obtaining sanitation permit ' <br /> A.School d+strict tae (y a.Connection Fee B.Obtain well/pump permit .`, <br /> B. Floodway as shown C3 b, Buy-in- > <br /> C.Flood fringe = 2.REK& �' h Fi a C.Change noted <br /> D.Noise 2•PROPOSAL DEN <br /> impact Q 3.REMARKS - <br /> 3.PARCEL MAP NO. " rr <br /> 4.REMARKS date by <br /> date <br /> r / ,- a <br /> FLOOD CONTROL:date <br /> 7 by <br /> date by. by ® BLDG.rwsv, 14 a/•a <br /> Plot Plan Valid Until I <br />