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:. '04 <br /> Plot Pian Application <br /> SAN JOAOUIN COUNTY DEPARTMERMI P_LANNIN6 AND BUILDING INSPECTION- <br /> Owner's Name <br /> Subd:name <br /> Address C '/ �Iy <br /> City-_��/�/ Zip /5�7� ptrone 3�✓`/Q Lf� bl/iot a <br /> A ~r/q/U///y/ g //i!% Census Tr. <br /> Applicant's Name v <br /> XGontractor p Owner Setback: <br /> Address.,1 a:_7 S' 701 nfnl A-?1), -- frau— d <br /> city-_ �1�=/1/�� zip 1s�7.�Cy P left <br /> right <br /> Precise location of propA/Z/��l/f ( iL-� z 1n 7//,o vox ��n ��1 �/n f /�/y�s� <br /> tear- <br /> Yes_ No <br /> Structure address N/1/!/S 7.,(-'1)AJ(Q (J ,C O U/ sewers—r-1 p' <br /> WSW system—p p <br /> Proposed use of structure(s) F/1 drainage system_p p <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot or parcel involved,showing shape 8 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 tines (h)Levees,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 /> pawy - <br /> 1 <br /> L A. <br /> II <br /> i <br /> 1 J <br /> r ; + <br /> . V <br /> I , <br /> t � <br /> �:- <br /> . i m.......i..,+,-«»-..- <br /> - <br /> 1._._ . ! .... <br /> -5 <br /> J - - F f <br /> it <br /> ut+ i <br /> 4 <br /> _ I _ , <br /> 1 <br /> I <br /> - <br /> _,._.:. ...... L.L. ' <br /> _� .. <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property aur <br /> shown on-the above plot plan. <br /> �?�l�— �1 <br /> Date ` Applicant's Signature <br /> •PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> Propel—` rty meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT TV. ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E.Hazelton Avenue <br /> Yes 0,46,1D Zona, B. Surface drainage established as shown <br /> 2.SPECIAL CONDITIONS p 1:PROPOSAL APPROVED SUBJECT T0: <br /> C. Fees A.Obtaining sanitation permit <br /> A.School district fee a. Connection Fee p B.Obtain well/pump permit <br /> B. Floodway as shown p b. Buy-In•f p C.Change noted p <br /> C.Flood fringe p 2.REMA _ 2.PROPOSAL NIED <br /> D.Noise impact p f Q <br /> 1ttrTn^. J <br /> TT <br /> 3.PARCEL MAP N -! 3 REMARKSf 'f`- <br /> 4.R� ../� up date <br /> FLOOD CONTROL: date <br /> date' by�ti,4,4i <br /> by by ®-SLOG.INSP. 14 tsisa <br /> k.t Idn Valid Until -J c� <br /> 1 .y,,.EL <br />