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ri <br /> Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF-PLANNING AND BUI.LDING%*CTION <br /> A.P.N. <br /> Ownei'sName Subd.name WEST Ila <br /> Address A101 vJ AA E-040 F—r map, 6480. <br /> Cit 15Z ro CKID N, C4. Zip .9 lil/lot a o2.A- <br /> y % <br /> Census T, <br /> Applicants N. F- p6 LS Setback: <br /> nil(Contfacttir a Owner <br /> front 6) <br /> orbA 4 <br /> Address AI <br /> City. f;�IaKroitj C4. zip phone Y27-Y92 I <br /> Rua 2 lett <br /> Precise location of properly A10ATH F/I COORMEA, OF rear <br /> f2R0 sT-Ap <br /> AND RE Sr. Yes No <br /> sewer s—jA- L) <br /> Structure address RRA IA <br /> water system <br /> IY I <br /> 7 <br /> L %,V drainage system—jg� <br /> )F <br /> Qb ST9 E 7111­ <br /> ..IP DECK <br /> Proposed use of structureis) <br /> DRAW ie)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot or parcel involved,showing shape&dimensions (1) 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 /> (c)The locations of ail 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 11)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> L -j" <br /> 4- 00 <br /> N t <br /> ori <br /> 46- <br /> 41 <br /> T- <br /> 7 1- <br /> -7 <br /> 0 <br /> 4 <br /> *4 <br /> T <br /> Ti- <br /> - <br /> . , - <br /> P, -T- <br /> is i <br /> A, <br /> 7--7 <br /> 41 : <br /> M <br /> A_ <br /> to <br /> JI <br /> �j <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property it: <br /> shown on the above plot plan. <br /> Data <br /> Applicant's Signatureh 49 06", -77 102, <br /> �/9 <br /> e PLANNING DIV. 1810 E,Hazelton Avenue 6 PUBLIC WORKS DEPT. 1810 E,Hazelton Ave. LOCAL HEALTH DISTRICT <br /> SUBJECT TO: <br /> 1.Property meet 'ng requirements for both 1.PROPOSAL APPROVEDENVIRONMENTAL HEALTH DIVISION <br /> =SIrl <br /> use 1601 E.Hazelton Avenue <br /> A Encroachment Permit required <br /> a arid con, <br /> Yes �7;< CD Zone B. Surface drainage established as shown 0 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2,SPECIAL CONDITIONS C. Fees A,Obtaining sanitation permlt—� <br /> A.School district fee a. Connection Fee [] B.Obtain well/pump permit—O <br /> 'B. Flixidway as shown-0 b. Buy- C.Change noted C] !� <br /> C.Flood Ir Inge 2.REMARKS 2.PROPOSAL DENIED <br /> D,Noise impact 3.REMARKS <br /> 3.PARCEL MAP NO date by <br /> A REMARKS date 7 by <br /> FLOOD CONTROL;date <br /> da by <br /> 0.1131-DO.INSP. 14 t5/83 <br /> Pin Plan <br /> Valid Until— e�,17, <br /> 4 <br />