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Plot Plan Application <br /> 5AN JOAQUIN COUNTY DEPARTMENT-Of PLANNING AND BUILDING INSPECTION p <br /> Owner's Name R/, c N AaQ....__..� �. Subd.name <br /> Address P -L4 / p A map a <br /> City., �,TA 7 Zip—7�7 S Phan &3��'1� bl/lot a <br /> census Tr. 2- <br /> Appllcant'sName ' Setback: <br /> Conlraev t, C 0r <br /> Address <br /> / <br /> Address front.,.." L <br /> 26:1 y6 83;� lalt <br /> City zip Phone <br /> Igfir <br /> Pwclss iota!€on W fxnpsrtY 1]CQr—tj OES77 61: rear_. . <br /> - WAUAn EAsr- &F, �i acYes No <br /> sewers Cl <br /> Structure address water Sys tam CJ L2r, <br /> 117 dralnale system....,0 <br /> Pwopossd use of sHucture(sl — <br /> ~ cer <br /> DRAW (el Location of minlrnam sewile disposal area for septic tank ind leech lines <br /> gal The lot or parcel Involved,showing shape 3 tltmensions (11 irrigation or drainages ditches,waterways and drainage ponding areas <br /> w Abultlnl streets and other rlght-of-way and/or easements 11)Location of existing and proposed driveways and encroachments <br /> (0 The loeallons M all existing building and distances to lot lines (h)Levees,with the crown shown <br /> (d)The locations of existing and proposed se pi lc tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> t-TArt <br /> - - - - <br /> 11, <br /> North <br /> _ <br /> Iii � j ,�. <br /> r A 1-_ 1 r r, <br /> -1 it <br /> i <br /> ly IT, <br /> 7��� '1 <br /> J - <br /> wF -r- <br /> { <br /> 1 77 17i _ I�xuAt�Ro <br /> - LL <br /> �I h [ CT <br /> fi <br /> a1.L I <br /> Applicant certlfles that the property low which the APPROVAL Is sought is described as above and that all existing structures on the property of <br /> shown on the above plotplann - <br /> Onte._.. Z Zap.IZ ?0 Applicant's Signature X,4 A-1 fZ <br /> .PLANNING DIV. 118110 E.Note lion Avenue a PUBLIC WORKS DEPT. 1110 E.Haze Hon Ave, .LOCAL HEALTH DISTRICT <br /> Pfops�ming wequhements lot both 1.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and a structlon A. Encroachment Permit required C3 1601 E.Hazelton Avenue <br /> Yes I;ra © Zone B, Surfac dralnale estabilahed as shown[� 1.PROPOSAL APPROVED SUBJECT TO: <br /> R.SPECIAL CONDITIONS [, C. Fees A;Obtaining sanitation permit <br /> A.School district to a. Connectlon Fee ] B.Obtain well/pump permit_�____�� <br /> B. Floodway as shown C] b. Buy -tae�'n'��''t� Q C,Change noted <br /> C,Flood it Inge 2.REMARKS V v V w� 2.PROPOSAL OLNI� � <br /> D.Nolle im"Ct =460==1 3.REMARKS (4S S <br /> 3.PARCEL MAP NO date <br /> 4.REMAR dot by <br /> FLOOD CONTROL; de <br /> dattl by by 61 SLOG. iNsn. a p/ea <br /> Piot Plan Valid Until S—[9-1q0 Ty, <br />