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Plot Plan Application <br /> SAN JOAQUIN.000NTY DEPARTMENT OF PLANNING AND BUILDING G INSPECTION_ <br /> V A.P.N. 1 { <br /> Dwner's Name ,^;;-- ✓ f' 1���� - - - Subd.name <br /> Address/�S'41 / �'# 1 N) C fY l�k"Iy _-- -- �,, I' <br /> city -/ /'ff L C r7, zip 4 S`_s 7 6 phone �S= Li G.G Z T a Eliot o f ! <br /> — Census Tr. =:•i' <br /> Applicant's Name x �- <br /> Contractor �]Owner Setback: <br /> front <br /> Address ft ) _ <br /> 9x`37 6 <br /> CityT 0--:: c , Zip on <br /> phe leeft <br /> ---— right ) r� <br /> r r t --- , <br /> Precise location of property F., i- r� 7 0 d 'r I•s i-e.�I, + /� rear <br /> I ; <br /> Yes No <br /> sewers Q, _ <br /> Structure address water system_[] <br /> drainage system ;.z• <br /> Proposed use of structure($) <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (al The lot or parcel involved,showing shape 6 dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (1) Abutting streets and other right-of-bray 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),Thome to„cations of existing and proposed septic tanks and wails (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> -- Mort <br /> _- <br /> i I 1- -17 <br /> # <br /> I V 17 <br /> _— <br /> + <br /> T-{ LL <br /> - <br /> _ *_ I 1 <br /> -- — - - - <br /> i71 <br /> 3] <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 /> sh0wn pn the above pt plan. <br /> /`o— J Applicant's Signator <br /> •PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORKS DENT. 1610 E.Hazelton Ave. •LOCAL HEALTH DISTRICT r <br /> L Property meets zoning requirements for both I.PROPOSAL APPROVED SUBJECT-T, ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. En - : <br /> croachment Permit 1601 E.Hazelton Avenue <br /> A <br /> Yes C:,,No 0 Zane ''` 7 _ B. Surface drainage established as shown 0 1.PROPOSAL APPROVED SUBJECT TO; ,_s.� <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining Sanitation permit Ey. <br /> A.School district fee ( a. Connection Fee [^] B.Obtain watt/pump permit [3' <br /> B. Floodway as shown C:) Buy-In- C.Change noted— <br /> C. <br /> oted C.Rood fringe O 2.REMA I t 1_ �= 2,PROPOSAL DENIED O I <br /> D,Noise impact 4 ' .REMARKS <br /> 3.PARCt:L MAP N0.�” 3 , <br /> 4.REMARKS �1, r; .F ..,:[ date by <br /> iy date J _J by `✓�^ t`._ 1�.:. s <br /> FLOOD CONTROL:date <br /> =Y . <br /> date r o 7 by ' � �: by ® eLoe. INSP. a to/aa I . <br /> Plot Plan Valid Until. <br />