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Plot Plan Application <br />SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br />owner's Name <br />�L'/•ii�li �LSY/1/.'•sslilitlr/orl�rir�w�iis..�ir�.�.vi�.�•.....� <br />Address I•I/sir <br />City i Z I p i i / <br />Owner <br />Address 5,Taa 0/ ulAil <br />city 37 -0 -zip ! , / <br />Structure address <br />Proposed use of <br />A.P.N./ V% 1 Zc'-t'// <br />Subd. name <br />map u <br />bl/lot n <br />Census Tr. <br />Setback: <br />front <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E. Hazelton Avenue <br />left <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Obtaining sanitation permit <br />right <br />0 <br />C. Change noted <br />rear <br />2. PROPOSAL DENIED <br />3.REMARKS <br />Yes <br />No <br />sewers <br />0 <br />O <br />water system <br />O <br />O <br />drainage system—O <br />O <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 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 all 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 (i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br />Applicant certifies that the property for which the APPROVAL is sought is described as above and that all exist <br />shown on the above plot plan. <br />D <br />ate /!k Applicant's Signatu'" <br />• PLANNING DIV. 1810 E. Hazelton Avenue <br />1. Property meets zoning requirements for both <br />use and construction <br />Yes L21'No 0 Zone <br />2. SPECIAL CONDITIONS <br />A. School district fee E -J <br />B. Floodway as shown Lj <br />C. Flood fringe <br />D. Noise impact <br />3. PARCEL MAP NO. <br />C REMARKS <br />PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Encroachment Permit required)E ,cL A4 <br />B. Surface drainage established as shown !J <br />C. Fees <br />a. Connection Fee <br />b. Buy -in -fee <br />2. REMARKS <br />date by <br />FLOOD CONTROL: date <br />on the property are <br />LOCAL HEALTH DISTRICT <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E. Hazelton Avenue <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Obtaining sanitation permit <br />B. Obtain well/pump permit <br />0 <br />C. Change noted <br />E�) <br />2. PROPOSAL DENIED <br />3.REMARKS <br />date by <br />® SLOG. INSP. <br />14 (a/99 <br />