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f`- <br /> Plot Plan Application <br /> SAN_JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N. -`--- <br /> r Owner's Name M M L Subdamne <br /> L1{'' Address r'— x' t maP <br /> . <br /> +: <br /> cityt 1 L"� zip 4Sx '0 <br /> r 1_1 AG►' <br /> Census <br /> L <br /> J_ -- -- ... Applicant's Name , Setback': <br /> 4 (n-cwt <br /> —ractor Q Owner <br /> front <br /> Address _ — <br /> city •^ h ., i zip 9 '2 33 .sem "'?45=334 <br /> fight <br /> Precise location of property �' ` �)M "-' fair <br /> Yes No <br /> • sewers - .` Q Q <br /> Structure address F --4.e"I Q wow system Q Q <br /> 77: !�Wt „ drakage system_Q Q <br /> Proposed use of structure(s)_ � - <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 /> a (c)The locations of all existing building and distances to lot lines (h)Levees,with the crown sham <br /> +' (d)The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> r. . <br /> r -r +--t-`--- <br /> i N <br /> -7 <br /> I , <br /> _+ 1' <br /> 011t _ <br /> >: <br /> ba 1 <br /> 1t 1 <br /> rt -- <br /> �. a _ <br /> -. _ <br /> , <br /> - <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 are <br /> shown on the above plot plan. <br /> . Date t��. � � -- Applicant's Signature <br /> 1 •PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> .Propel rty meets zoning requirements for both I.PROPOSAL APPROVED <br /> SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit requireA 1601 E.Hazelton Avenue <br /> •Yes IALD4--lro CONS Zona( <br /> B.Surface drainage established as shown'D 1.PROPOSAL APPROVED SUBJECT TO: <br /> -�+ 2.SPECIAL CONDITIONS � / C. Fees A.Obtaining sanitation permit <br /> ^= A•School district fee L / a. Connection Fee Q B.Obtain well/pump permit <br /> B. Floodway as shown b. Buyin-fee Q C.Change noted <br /> C.Flood fringe Q 2.R MARKS 2.PROPOSAL DENIED Q <br /> t" D.Noise impact r] '' ��-pp�' ��3^RENVIRKS # <br /> .f 3.PARCEL MAP NO. / date <br /> 4.REMARKS ! .`v .r / date 3= <br /> X"-> / %`�• t.-� FLOOD CONTROL:date <br /> 0 SLOG.INSP. 1+ (&/as� <br /> date- by <br /> Plot Plan Valid Until Z. _ <br /> Erg .... .. <br /> { <br />