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Piot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING-INSPECTION ( r} <br /> A.P.N. <br /> Owner'sName !"�i�lii tip- . - ') +� � `.L. Subd.name <br /> Address i L �_ [1 < ;'a map# <br /> Cit XX1 �� qtf�` <br /> Y L �-�': "} � ' Zip ��ir1i���' phone �-�'`;4v'�' bl/lot# <br /> Census Tr. <br /> Applicant's Name Setback: <br /> . <br /> 0 Contractor �Owner <br /> --- - <br /> Address. -10q St) CIOit°� ` <br /> :� , _-t front <br /> `' left <br /> City ,tex, r }Lca Zip ��ao�' phone qi{�- � <br /> -- - - r - right S <br /> Precise location of property I // r Q d` A rear 'I j �� <br /> Yes No <br /> sewers <br /> Structure address Sy)L <br /> CA v _ <br /> 1 water system <br /> Proposed use of structures)) a� C; ` f t ' drainage system— <br /> DRAW <br /> ystem—DRAW (e) Location of minimum sewage 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 (i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> ( � ) � <br /> �l <br /> - <br /> � orth <br /> �. <br /> .�, . <br /> i <br /> ( 711 <br /> a <br /> S j u� .esxcav�xxrere%mava .. .i.".�@mamw^�'. <br /> w <br /> I 3 <br /> ..+.,gym«...,.+. ....._....� .{ ....«.... .. i.....�...,,..g.... - -,_... -3..-r ..,-r...{7-....�... .,•7 y_A +d. � .. _ <br /> t � <br /> '• - <br /> } <br /> a i _ " 4 a <br /> _. <br /> a <br /> - <br /> y---� w� <br /> ....1...... <br /> y <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 /> Date }- �'� Applicant's Signature (11TI - <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 T ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> Yes ] No 0 Zone eR I T � B. Surface drainage established as shown 0 1. PROPOSAL APPROVED SUBJECT T0: <br /> 2. SPEC'iPCL CONDITIONS C. Fees A. Obtaining sanitation permit— <br /> A. <br /> ermit A. School district fee 0 a. Connection Fee B. Obtain well/pump permit— <br /> B. <br /> ermit B. Floodway as shown b. Buy- <br /> f i C. Change noted <br /> C. Flood fringe L� 2. REMARKS .� 2. PROPOSAL DENIED <br /> D. Noise impact J REMARK* <br /> C _r <br /> 3.'PARCEL MAP N0. 3.r MARKS <br /> 4.REMARK ` <br /> S ( (t�/• {� ✓n date ! by <br /> date 5- by r , <br /> ' u FLCOu CONTROL: date , <br /> date by Y by <br /> Plot Plan Valid Until <br />