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-76 <br /> x lot Plan Application 4: <br /> SAN JOA9UIN COUNTY DEPAIITMENT OF PLANNING AND BU <br /> ILDIfNi:NiSPECTiON <br /> A.P.N. z",lI <br /> Owner's Name__ �d E l m/4 4 C`r fl u V1 (4 <br /> Subd.name <br /> Address _ 2 2 4 4 W map a <br /> city__ c:•.0 A i a zip S y 1, ph"33 9- %yea/ bl/lot a � <br /> Applicant's Name 6 I Nr r le o ; A N ki 4 y Census Tr. <br /> Adcontractor ®'Owner Setback: <br /> Address 5a .., front <br /> City <br /> - �1 zip phone left F+ <br /> Precise location of property Z Z $ �. i/ia'n s-feo right 3rd <br /> rear <br /> 7- <br /> Yes No <br /> Structure address a 8 m S Q J ~ sewers Q Q <br /> - J water system_Q CD <br /> Proposed use of structure(s)_ d c .!i- drainage system_Q Q j <br /> DRAW ------_ (e)Location of minimum sewage disposal area for septic tank and leach lines j <br /> (a)The lot or parcel involved,showing shape d dimensions (f)Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) AbuttinR streets and other right-of-way and/or easements (g)Location of existirrg and proposed driveways and encroachments <br /> (c)The locations of all existing building and distances to lot lines (h)Lewes,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 /> -1t II 0= Northj . <br /> } <br /> _1 <br /> .T <br /> I <br /> -717 - <br /> I <br /> ._ <br /> _.�. <br /> T-1 <br /> i L -- <br /> _ _ <br /> r <br /> _ — . <br /> 7.4 <br /> I - <br /> Applicant certifies that the property for which the APPROVAL is sought is deserl as above and thet alLe> ng structures property are <br /> shown on the above plot plan. °�a <br /> Dace ,i,i�.,,• — <br /> Applicant's Signature <br /> •PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. Ile LOCAL HEALTH DISTRICT <br /> •use 1meets;zi <br /> onrequirements for both .PROPOSAL APPROVED SUBJECT T0:_ gip, --ENVIRONMENTAL HEALTH DIVISION and construction <br /> A. Encroachment Permit required -J 5 Q 1601 E.Hazelton Avenue <br /> Yes ca,*o Q Zone /,'��//'� % B,Surface drainage established as shown Q 1.PROPOSAL APPROVED SUBJECT T0: <br /> 2.SPECIAL CONDITIONS C. Fess A.Obtaining sanitation permit <br /> A.School district foe a.Connection Fee <br /> B, Floodway as shown Q B.Obtain well/pump permit J; <br /> C.Flood fringe Q 2.REMARKS C.Change noted <br /> D.Noise impact i <br /> Q r T.PROPOSAL DENIED O <br /> 4.REMAR �3. L MAP fi0. � ! 3 REMARKS <br /> �� date y <br /> FLOOD CONTROL:dab date - i fi by <br /> . a 1 <br /> date by. 14. ® BLDG.INSP. 14 raise <br /> iC <br /> Plot Plan Valid Until < ,3 :V <br /> I <br />