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s ' <br /> d +. <br /> blot plan Application <br /> SAN JOAQ_UIN COUNTY DEPARTMENT OF PLANNING AND BUILDING_INSPECTION <br /> A.P.N. <br /> Owner's Name Subd.name <br /> Address. ( map u <br /> City-''-iC i t� I Zip `, f. phone f� bl/loty <br /> Census Tr. <br /> Applicant's Name # <br /> Contractor F'9 owner Setback: <br /> Address. -r !.. r',; ,�\. �� r'•, ;•,,-( front <br /> �' r1 1 left <br /> City � +r Zip _� � phone <br /> --- - - - right <br /> Precise location of property Lt a-' - E t% , '{" ` rear <br /> Yes No <br /> <-- sewers <br /> Structure address water system O O <br /> Proposed use of structure(s) r \ , drainage system—E::] E::] <br /> 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 /> E <br /> -y- 3 <br /> -r- <br /> .a _ North <br /> } T <br /> 4 i <br /> I I <br /> i <br /> < <br /> x <br /> it <br /> J <br /> w <br /> = r. <br /> wmrwm' E tc+.�v�rao�a24w" za'ron^aaxa:�.mxtiE p�xru'dnx <br /> .... <br /> 9 <br /> < <br /> F <br /> t <br /> d <br /> b <br /> S 6 <br /> i <br /> ..... .u,..,..au. ...«...a., .. a , <br /> v ' <br /> t <br /> .e <br /> - <br /> t <br /> : < <br /> E <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 <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: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> Yes O No 0 Zone B. Surface drainage established as shown 0 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit— <br /> A. <br /> ermit A. School district fee F--j a. Connection Fee B. Obtain well/pump permit 0 <br /> B. Floodway as shown 0 b. Buy-in-fee C. Change noted 0 <br /> C. Flood fringe 2. REMARKS 2. PROPOSAL DENJ&D �.. <br /> �} <br /> D.Noise impact O 3. REMARKS=�'� � <br /> 3. PARCEL MAP N0. date by -1-- ' ,, -- t <br /> 4. REMARKS - -r <br /> FL COD CONTROL: date date by <br /> date by by ® BLDG. INSP. 14 (3/33 <br /> Plot Plan Valid Until <br />