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4 ' <br /> of Plan Application r <br /> SAN JOAQU-IN COUNTY DEPARTMENT OF PLANNING-AND BUILDING.INSPECTION 4.. <br /> j u rr A.P.N. 23'3cf0 '.1.- <br /> Owner's Name go 11"ev! jwexe III ,CQi1/O Subd.name <br /> 7'.T�Jf7/ 9S�y'6 B3S 8asz map a ' <br /> City Zip phone bl/lot n - <br /> Census Tr. <br /> Applicant's Name � <br /> CD ContractorOwner Setback: t _ ` <br /> Address -- —�— front <br /> r <br /> City Zip phone left <br /> - - right <br /> Precise location of property, rear d <br /> Yes No -zA';:, <br /> 322/T r .ffl ewers <br /> ew /Pd sQ '{ <br /> Structure address ' <br /> .J water system <br /> Proposed use of structures) �-4r 1/b!✓ —,p .'l s�j/,fyEll��� drainage system <br /> CRAW - (e)Location of minimum sewage disposal area for septic tan,and leach lines - <br /> (a)The lot or parcel involved,showing shape&dimensions (f) Irrigation or drainages ditches,waterways and drainage pending 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 septiclanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> , <br /> i <br /> ' I E <br /> i I <br /> { <br /> LI,._.I !-,. <br /> 7-1 <br /> Q <br /> If <br /> r - -- - <br /> 1 � { <br /> , I <br /> -. <br /> it <br /> , <br /> Vfle 4k 4f <br /> sle <br /> / <br /> t <br /> Applicant certifies that the juapeity for whft:h the`i1pPR0VAL Is adugM 7s71eiMlbed.aa;abov and that allamlating structures on the property are <br /> shown on the above plot plan. , <br /> Date �-.l_ ,_,_,_._„ 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 .PROPOSAL APPROVED SUBJECT TO, ENVIRONMENTAL HEALTH DIVISION <br /> use and onstruction A. Encroachment Permit required ti r 1601 E.Hazelton Avenue <br /> Yes No p Zone B. Surface drainage established as shown d 1.PROPOSAL APPROVED SUBJECT TO: - <br /> 2-SPE AL CONDITfONSC. Fees A.Obtaining sanitation permit <br /> A,St hoot district fee ', a. Connection Fee 0 B.Obtain wetl/pump permit _ <br /> B, Floodway as shorn b. yin- III �], C,Change noted <br /> C.Flood fringe [] 2.REMAR 0�•,1 2.PROPOSAL DENIED [� <br /> D,Noise impact <br /> 3.PARCEL MAP N 0.-011 3.REMARKS <br /> dateHr- <br /> 4,REMARKS t..- '} <br /> date - b -. . <br /> FI-CC;,CONTROL: date y <br /> date by by ® al_oc. IN sa. a lei 6a `l'i <br /> Plot Plan Valid Un 1 •1 m <br />