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. • l <br /> Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING.INSPECTION <br /> Owner'sNanI zuryrTzMAN., M F F = <br /> Subd.name <br /> Address <br /> map r, % <br /> City STOCNTON, - Zip 95201 ph0i1C 454-835, bl/lot. <br /> Applluant's Name "10MF.LLINI COLI CO, Census Tr. <br /> 0 Contractor p Owner Setback: ';. <br /> Address. T T T front <br /> City STOCRT9N, CAZip 95201 . phare 46E-5086 left <br /> right / - <br /> Precise location of property _4 MT_ 19(IS?T14 (z, _F MT r,7FSrr rip Mr-nnwSAT.n T,5rear <br /> BRTDGE <br /> Yes No <br /> Structure address 11 1 14ZQCMMAM ROAD sewers Ej - <br /> waters yslem <br /> Proposed use of structures) — c drainagsystem—[] C7) , <br /> DRAW {' <br /> lel Location of minimum sewage disposal area for septic tank and leach lines <br /> (al The Ib[or partel envoi show a ped dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> {bI 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 existingand p (U WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION 7k, <br /> 1 <br /> propose <br /> septic tanks and wells <br /> � <br /> , <br /> North <br /> y <br /> - _ -- - - <br /> y-� <br /> tsr.41 <br /> I <br /> 1— <br /> i <br /> 1 - - . . . _ <br /> --r <br /> f <br /> - <br /> ti_ <br /> - <br /> Applicant certifies that thy property for which the APPROVAL is sought is described as abovq and that all existing structures on the property are <br /> shown`on the above plot plan. <br /> Date Applicant's Signaturer- <br /> ��!'.` <br /> � <br /> •PLANNING DIV, 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave, •LOCAL HEALTH DISTRICT <br /> F.Rerty meets .ning requirements for both .PROPOSAL APPROVED SUBJECTT�T''0'':`` ENVIRONMENTAL HEALTH DIVISION % <br /> use and Cr tion A. Encroachment Permit requireds.A('0e 1601 E.Hazelton Avenue <br /> Yes No Zone— B. Surface drainage_ established as shown 1.PROPOSAL APPROVED SUBJECT TO: - <br /> 2.SPECI L CONDITIONS C. Fees A.Obtaining sanitation permit � - <br /> A.School district fee- O a. Connection Fee S <br /> B- Floodway as shown bBuy-i •fee C.Change noted <br /> © B.Obtain well/pump permit <br /> C.Flood fringe O 2. .REMARKS d ef 2.PROPOSAL DENIED O <br /> D.Noise impact - Cl <br /> 3.PARCEL MAP NO. 3.REMARKS - - <br /> 4.REMARKS date S by U fi9, k1kJj_:f:.- - �T•-7rr _ 1. -7 ��. <br /> IJr ' date by .. 5 <br /> FLOOD CONTROL: date - - <br /> •E by ® BL9G.SNIP. 1� rer•s `'S <br /> Plot Plan Valid Until__-- <br /> 4 <br />