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Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION ' <br /> A.P.N.` /"/ <br /> t/c7 I t lV�r ,,�> J�r <F k <br /> Owner's Name + Sutxl.name' <br />,, Address— ' �5-� ' Lr .1..' fit ;J 7 J !!''^}� �1 J map a <br />�. City ,�L'�f,i r Zip. ``f_ _i— Phone J 1 Y bl/lot# <br /> .t Census Tr. <br /> Applicant's Name —AQ <br /> Contractsill Owner Setback: 1: <br /> front <br /> Address <br /> left <br /> City t 1 i`. c� Zip Phone - <br />° '__ right ` <br /> Preci__location-oi w6pecti ���,,./ "1 f' �•' `� rear <br /> " ^ , !r Yes No <br /> r' _ f- <br /> -1 sewers <br /> Structure address —f (^ water system—Q ED ✓ <br /> .t- 4-.1/0 � drainage system_ O <br /> Proposed,us§,of structure(s)- -.__t.�—�.�I, •_.,---� — <br /> DRAW (ei4cation of minlAh sewage disposal area for septic tank and leach lines <br /> (a)The lot or parcel invo red,-.showing shape&dimensions (f) Irrigation or drainages ditches,Waterways and drainage ponding areas <br /> (b)`Abuttin^soeets and other right-r,(' ay and/or easements (g)Location of existing and proposed driveways anlI encroachments <br /> (c)The locations of all existing buo Ill and distances to lot litres (h)Levees,with tete crown shown <br /> c, <br /> (d)TDe'iotions of xisting and or ed septic tanks and wells (i)WITH DOTTED LINES,�THE PROPOSED STRUCTURE or ADDITION r <br /> t e <br /> 9 <br /> ir -- --- <br /> - 7 <br /> �-rj <br /> cl <br /> "ro <br /> tj <br /> a. <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 __��' X 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 t�,.0 1601 E.Hazelton Avenue {, <br /> Yes [� No Zone `' B. Surface drainage established as shown 0 1.PROPOSAL APPROVED SUBJECT TO: is I <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit <br /> A.School district fee, J .t a. Connection Fee B.Obtain well/pump permit <br /> B.Floodway as Snow D. Buy-in44e Q C.Change noted } <br /> C.Flood fnnge '` ; 2.REMARKS '''j-) 2.PROPOSAL DENIED <br /> P.; <br /> D.Noise impolt t` 3.REMARKS er <br /> 3.PARCEL UARd,,1O t " date by a, <br /> 4-RE RKS 0` da y ! <br /> /_�,rfb <br /> /Cr-E f� FLOOD CONTROL:date r 6 f l.r' <br /> date 4 by` byc,00.itis a teles <br /> Plot Plan Valid Until A\ P1, � <br /> a•' <br />