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lot Pian Application <br /> SAN JOAOUIN COUNTY DEPARTMENT OF,PLANNING AND BUILDING INSPECTION <br /> / A.P.N. <br /> Owner's Name �t _,t t v'f� T A//,?m e W �, � f } . <br /> F ��__.. :�. .. SubIi <br /> d.name .y�Z...— <br /> Address_ey C rpt id! ,T t��_I n . �".7 n.1 map p <br /> City r zip ij�_3 7 ph.. V zIaI `I Y bl/iota' <br /> Appiicant's Name Vs'I f f I Census Tr. 5201- <br /> ED <br /> .I20l p Contras or E�dOwner Setback: <br /> Address. Sof: ..Cz-r"� front <br /> Cit • lefty l n <br /> Y Tip phone <br /> right /O <br /> Precise location of property r)AJ me Unre_7-FI 5rGrz etL h,t+raN,al+ L :; ne= rear <br /> k:,a•re. zs A?A tiSnrfr�Y[�r Cr �',tid4 �' - Yes No <br /> Structure address ? 7 Z 9sewers (� <br /> W� water System <br /> + Proposed use of structure(s)' H-0>m c• l'k d< _^,-S�/(„�.•-" drainage system_ED i <br /> DRAW lel Location of minimum sewage disposal area for septic tank and leach tines i <br /> (a) The lot or parcel involved,showing shape&dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) AbuttinR streets and other Fight•ot-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 /> f 7 C5 9a <br /> r r� <br /> (r 1 �- <br /> _■', North <br /> W 1 cT. <br /> CS 1141 <br /> T. <br /> am, <br /> �SO _ <br /> In; r <br /> E y IP. _ ( I ;u I 1—{ r lsu v�S ci U+ Q0 <br /> m o11, +� r y^�I 1 r ©aW <br /> E U O& I .�C i- r r 1-•.._ 7r ? v�V w C> - -- <br /> 17. A-- dr F...•Fa _'_'"�..1�r fi- h --"� '�!_ ' r- _oso Zi - <br /> nF- <br /> fir, <br /> r j 1 r5 <br /> - � Ifu"o¢¢ <br /> xr <br /> 7 FW <br /> 17. <br /> i- -- <br /> I [ '1.'G,•3. r-t"' � .'�'-- 1. .. - � .i F- � <br /> T' <br /> -!.- r - <br /> JJJ� —2 <br /> 1 t_I ' <br /> - - -r-- i— <br /> 15 / 9 .. <br /> li <br /> Applicant certifies that the property for whit the APPROVALis sought is described as above and that all existing structures on the property are <br /> shown on the above plot plan. <br /> Date 1'? 1 <br /> 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 SUB <br /> ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E.Hazelton Avenue <br /> YesNo = Zone 's "-�<.} B. Surface drainage established as shown= I.PROPOSAL APPROVED SUBJECT TO; ' <br /> 2.SPEIAJL CONDITIONS C. Fees A.Obtaining sanitation permit—15;Z' <br /> A.School district fee r?A�Y GR� a.Connection Fee <br /> C.Obtain noted permit <br /> e- Floodway as shown— � � b. Buy-in-tee � <br /> C,Flood((inge zrA14 2.REMARKS C.Change noted k <br /> D.Noise impact - --(-' '"'—�� 2.PROPOSAL DENIED 1 <br /> 3.PARCEL MAP NO. 3.REMARKS <br /> 4.REMARKS Ai'rr_r3y�!'A date_ by <br /> d; JFlF FtIaJ FLOOD CONTROF,; date._1r�2= date <br /> date S.�f <br /> $lot Plan Valid Until Y`-f ! r i f vf3-�}c` j , <br /> kt_��� r r <br />