Laserfiche WebLink
Plot Blan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING_ <br /> INSPECTION <br /> _ A.P.N. t„fi -- j <br /> U <br /> E 0 )a ),,Lp <br /> �,, <br /> Owner's Name <br /> Subd.name <br /> � 1 <br /> Address �,, <br /> 1�t«=! � d map# <br /> City Zip ���� L.••, phone �.��•"�'1T4 bl/lot v <br /> Census Tr. <br /> Applicant's Name <br /> Contractor Owner Setback: <br /> Address front r <br /> City Zip left <br /> -— — phone right <br /> Precise Ipcation of property ,;'< � � "rr*z �` `—'' 1 � rear 3:50 <br /> Yes No <br /> sewers <br /> Structure address water system 0 0 <br /> Proposed use of structure(s) <`�.- drainage system_ <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 /> (c) The locations of all existing building and distances to lot lines (h) Levees, with the crown shown <br /> (d) The locations of existing and proposed septic tanks and wells (i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> _ [ <br /> i_. <br /> 4 <br /> l" <br /> a _ € <br /> F <br /> ort <br /> 3 <br /> . <br /> , <br /> j <br /> .. <br /> I 1 <br /> 3 - 1 <br /> I <br /> _ <br /> .:. <br /> ILL <br /> Y <br /> t <br /> f <br /> Y <br /> q$7 <br /> ...... <br /> .. <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all exi ing structures on the property are <br /> shown on the above of plan. <br /> Date Applicant's Signature ` <br /> • PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> L Property meets zoning requirements for both 1. PROPOSAL APPROVED SUBJECT ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> Yes ©---No C] Zone �� B. Surface drainage established as shown 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit <br /> A. School district fee a. Connection Fee B. Obtain well/pump permit <br /> B. Floodway as shown b. Buy-i,- n C. Change noted 0 <br /> C. Flood fringe. 2P6� <br /> D . REMARKS �(�� 2. PROPOSAL DENIED_ <br /> D. Noise impact � O / •/ � <br /> 3. PARCEL MA •�' <br /> 3. REMARKS5.�4.+, , . / <br /> 4. REMARK/ / /r r. .�. -r date �J1 by <br /> '• I��. <br /> FLOOD CONTROL: date date 1G by 1 _ <br /> by ® BLDG. INSP. 14 <br /> (9/894 <br /> Plot Plan Valid Until <br /> / P <br />