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363-6, <br /> plot Plan Application <br /> SAN JOAOUIN COUNTY DEPARTMENT OF PLANNING_AND BUI.LDING.-INSPECTION _ <br /> A.P.N. <br /> Owner's Name ► i G 5ubd.name <br /> Address O A map u <br /> Zip n G2�Z Phone _ bl/lot# <br /> City <br /> _ r Census Tr. ) <br /> Apps icanl's Name G H U Setback; "I <br /> Contractor Owner �Q E <br /> ,, QQ front <br /> Address. [ �O Zr phone ��33- 7 q LTJ left <br /> City p _ho right <br /> rear 3� 1 <br /> Precise location of property <br /> Yes No <br /> sewers C7 <br /> Structure address water system Q i <br /> j drainage system <br /> I Proposed use of structure(s) <br /> DRAW (e) Location of minimum sewage disposal area for septic tank and leach lines <br /> (a) The lot or parcel involved, showing shape &dimensions (f) Irrigation yor 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 all existing building and distances to lot livres (h) Levees, with the crown shown <br /> (d) The locations•of existing and proposed septic tanks and wells (l) WITH D07ED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> - s - -_ <br /> 17--4 <br /> - <br /> y <br /> : <br /> � I <br /> =1 5' <br /> orth <br /> i <br /> -•-- r - <br /> : <br /> : <br /> F <br /> : <br />` _ - - <br /> I <br /> -T- <br /> .0"111I <br /> v <br /> 7tt! <br /> i <br /> _.._.. <br /> _. . <br /> _ <br /> i <br /> IL <br /> JM <br /> 1. <br /> I <br /> i <br /> , <br /> , <br /> - <br /> , <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 /> shown on the above plot plan. <br /> 4 <br /> Date ' � Applicant's Signature <br /> r i <br /> • PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazel Ave. • LOCAL HEALTH DISTRICT <br /> Property meets zoning requirements for both T7—PROPOSAL APPROVED SUBJEC _ ENVIRONMENTAL HEALTH DIVISION <br /> use and con ction A. Encroachment Permit required [] 1601 E. Hazelton Avenue_ <br /> Yes _ No C Zone —Old B..Suri�^e drainag?,�P�►zht ,a. Ysniiwn^[ -n L APPROVED SUBJECT T0: <br /> =«EFtA&CONDITIOM1S x � ��; .� C. Fees�4 A. Obtaining sanitation permit ] <br /> ' <br /> A. School district fee a. Connection Fee B. Obtain well/pump permit <br /> S. Floodway as shown © b. Buy-in-feC Q C. Change noted <br /> .1 C. Flood fringe © 2. REMARKS 1 i��- C �S� a ...�.. 1. PROPOSA DEN ED. <br /> D. Noise impact © _ 3. REMARKS <br /> 3. PARCEL MAP NO. gate = by <br /> -. .. date __by J. <br /> FLCOv CONTROL: date ' <br /> date by by <br /> Plot flan` Valid Until ... .. <br /> t <br />