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Plot Plan Application <br /> SAN_JOAQUIN COUNTY DEPARTINENT OF PLANNING AND.BUILDING.INSPECTION ' <br /> I [A. N. <br /> Owner's Name - �nameAddress r7 9-3 Sp ►City Zip_9�3 2 4 phne Sj 2 7 ASN+ lot M <br /> i Census Tr. <br /> Applicant's Name. r5�d f7 E Setback: <br /> Contractors Owner <br /> 7^ front - r <br /> Address. lett. h •,�,_. , <br /> i City <br /> Zip phone .. right <br /> Precise location of property rear <br /> Yes No <br /> sewers <br /> Structure address A AlE water system— d 1 •• - <br /> drainagesystem—Q - <br /> Proposed use of strutture(s) ._--_— <br /> DRAW - le)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot of parcel involved,Showing shape 6 dimensions (f)Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting streets and other rlgM-of-way and/or easements - (g)Location of existing and proposed driveways and encroachments 7w, - <br /> (e)The locations of all existing building and distances to lot$Ines (h)Levees,with the crown shown <br /> 11)WITH DOTTED LINES,THE PROPOSED STRUCTURE a ADDITION <br /> (d)The locations d existing and proposed septic tanks and nel[s - <br /> 1 <br /> i 1 <br /> ---r t-.L.-- 1 - I I '• r' � ' -� T�. � I North � <br /> �1 <br /> t <br /> 1-111, <br /> .� xx i. <br /> e <br /> • <br /> i <br /> 3 I <br /> _ _1,11-41 <br /> 7+- I <br /> .� E <br /> 44 <br /> —RIN' <br /> 17 <br /> — I <br /> 1 , <br /> i-'; --- <br /> r <br /> Applicant certifies that the property for which the APPROVAL Is sought is described as above and that all existing sir tures on the property are ,� µ <br /> shown an the above plot plan.1 .. <br /> 1{I✓r�� <br /> Date----Ll7Z ad,Z,12'7_ Applicant's Signature LA <br /> •PLANNING DIV. 1810 E.Hmiton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> f?ropeymeets zoning requirements far both •PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION ��i� I) <br /> r use and cogllruction A. Encroachment Permit required 1601 E,Hazelton Avenue r_: <br /> -Yes No p Zaz- B.SuAace drainage established as shown�'] 1.PROPOSAL APPROVED SUBJECT T0: <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit— <br /> A. <br /> ermit A,School district fee a.Connection Fee [] B.Obtain wetl/pump permit <br /> B.FloodwaY as shown p b. suy-in-fee C.Change noted -`r''• `i <br /> C.Flood fringe O 2.REMARKS 'Z t 2.PROPOSAL DENIED - a I _`= <br /> D.Noise impact ,7 j j 4) .n 2 °k' - <br /> 3.REMARKS I ° <br /> 3.PARCEL MAP110. date <br /> C REMARKS.� J ' date by; �f l: •:, <br /> FLOM CONTROL: date <br /> da `- by ® BLDG INSP. r• rs/ea <br /> Plot P an Valid Until <br /> _mac <br /> -semrd le(j <br /> t <br /> k <br /> i <br />