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i <br /> J -Plot Plan Application .. ., <br /> SAN JOAOUIN COUNTY DEPARTMENT OF PLANN11 G AND BUILDING INSPECTION <br /> A.P.N. <br /> N s n <br /> Owner's Name Subd.name �.. <br /> Address 0 , , map <br /> a <br /> City / zip phone bl/lot a <br /> in <br /> �� <br /> Applicant's Name_ .� 1 C_>4_s=P_ `. y ; ._, � Census Tr. <br /> � 3y <br /> Address <br /> Contractor Q t�, � , <br /> ,.:�.1�_ DlMtar front <br /> loft <br /> f!� <br /> CityZip q >��`2 1 phone 4 5 r>•tl -- f*' <br /> right <br /> Precise location of property re#r <br /> _ Yes No <br /> Structure address water system ] C7 j,, <br /> Proposed use of structure(s) F QL t, Ir drainage system <br /> DRAW (eltowtfon of minim <br /> taa sewage disposal area for septic tank and leach lines <br /> (a)The tot or parcel involved,s i" iatwts (q Irrigation or drainages ditches,waterways and drainage nage ponding areas <br /> (b) Abutting streets and other right-of-way and/or tasemants (g)Location of existing and proposed driveways and encroachments <br /> (c)The locations of all existing building and distances to lot lines (h)Lomas,with the crown shown <br /> (d)The locations of existing and proposed septic ISOM and welts " (1)WITH DOTTED LtNES,THE PROPOSED STRUCTURE or ADDITION <br /> Nath. <br /> - - <br /> : <br /> _.. <br /> w .I. <br /> } <br /> A. <br /> Tt <br /> §4 <br /> 77 <br /> .t. <br /> Applicant certifies that he operty for which the APPROVAL is sought is described as above and that alt existing structures on the property are Vie. <br /> shownon the above <br /> Date — ApplicaM's Signature <br /> .PLANNING DIV. 1610 E.Hazetton Aeenue •PUBLIC WORKS DEPT. ISIO E..NazeRm Ave. •LOCAL HEALTH DISTRICT �Ss <br /> Property eets zoning requirements tar both PROPOSAL A D SUBJECT TDD ENVIRONMENTAL HEALTH DIVISION e r <br /> use-and cons tion A, Encroachment Permit required 1601 E.Hazelton Avenue x„ <br /> Yes F. o one!7 (d/ B. Surface drainage established as shown[] 1.PROPOSAL APPROVED SUBJECT TO: >+, <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit }g <br /> A;School district fee__ _{� a.Connection Fee r7 B.Obtain well/pump permit <br /> B. <br /> Floedway as shown M b.BUY- O C.Change now <br /> C.Flood frit (� 2.REANR 2.PROPOSAL DENIED O <br /> D.Noise i <br /> 3.PARCELyr/pp 3.REMARKS <br /> 4.R RAS< .�{.df� to : by <br /> LOOD CONTROL:doss <br /> M by <br /> ztz <br /> date DY. 0 sl on.INsa. r4 <br /> dote tdrs 'F'_ <br /> �S-? N. <br /> I: <br />