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i <br /> Plot Pian .Application <br /> SAN J_OAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING_INSPECTION _" <br /> A.P.N.085 3 70 .Q I <br /> Owner's Name M R M/Z.5. RO&ER T A 7-7-F_y Subd.nama"no F IR i cE <br /> Address. T3. N SCMNE 7-F DA1v _ . . .... ..... ... ..._ map <br /> `City .Sj�C f*T bN ��- Zip 9 /�, phone Q3/ ' T 7�� bl/lot# S- <br /> r <br />,. yJ A &J / pOGS =ill Census Tr.IPdr.V. <br /> Applicant's Name Setback: <br /> Contractor = Owner , <br /> Address.— I I® F�E �� ATV GIF STS. S- front <br /> City Sra 0_IKTbN C _ Zi .S., 3 phone ' 76 d left 7 0 _ <br /> i7 N vF r 14N c i_=,E1 _"V— — +� �- Z right 0 <br /> Precise location of property .SOidirrt O~ �� /�pE C ��NE17es`J � <br /> rear �0 f <br /> AoA1t a r pFOPPI17NOS / -4AAIE• O/y Tt � �,4ST 570Eot: 8TAI lE M. Yes No <br /> Structure address C7 (o /V E AlAj IF rr AQ /VZ � sewers 0 <br /> ,4 / water system ly) (� <br /> Proposed use of structure(s) UlI f L` _ Od L SIV/ PE er< &VAI TE 1 drainage system_ 0 <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 /> fc) 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 /> Narth <br /> ; <br /> 7 . <br /> I <br /> — — <br /> : <br /> _. . ._ <br /> I � ' <br /> 1 rl.-j- I <br /> k. <br /> n ' <br /> • <br /> H - —� _ <br /> er <br /> AN <br /> �I <br /> : <br /> : <br /> Q) <br /> ,.„.rte <br /> M <br /> Applicant Fertifies that the,property for which the APPROVAL is sought is described as above and that II existing structures on the p oper are . <br /> shown on the <br /> r . above plot plan. <br /> Date H / Ip <br /> Applicant's Signaa <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 T0: ENVIRONMENTAL HEALTH DIVISION <br /> use and onstruction n` A. Encroachment Permit required 1601 E. Hazelton Avenue <br />!. Yes No [] Zone L B. Surface drainage established as Shown 01. PROPOSAL APPROVED SUBJECT TO: <br />: 2. SPEC AL CONDITIONS No <br /> Fees I A. Obtaining sanitation pefmit <br /> A. School district fee 0 a. Connection Fee 0 B. Obtain well/pump permit <br /> i B. Floodway as shown 0 b- Buy- <br /> irt�fee Q C. Change noted [] <br /> C. Flood fringe. D 2. REMARKS 2. PROPOSAL DENIED [] <br /> D. Noise impact .r 3. REMARKS/?USI1 r'i) �� A <br /> 3. PARCEL MAP NO, date _ by <br /> 4.REMARKS <br /> t -_ r��_ dated 0—e7 by� <br /> t]4 <br /> r FLCOu CONTROL: date <br /> date f byF!'" _— by <br /> (D BLDG. INSP. is 18/a8 <br /> fff PlotPlan Valid Until <br /> �J-y),f00� <br /> -7� Io <br />