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3os,4-u l� 4� <br /> r` 1 COUNTY OF SAN JOAQUIN FRITZ BUCHMAN <br /> i <br /> DEPARTMENT OF PUBLIC WORKS Deputy Director` i <br /> y P.O.BOX 1810- 1810 E.HAZELTON AVENUE MIKE SELLING <br /> STOCKT'ON,CALIFORNIA 95205 Deputy Director <br /> Q _ <br /> (209)468-3000 FAX(209)468-9324 JIM STONE <br /> www.sjgov.org/pubworks Deputy Director <br /> ROGERJANES <br /> Business Administrator <br /> Activity#: PS-1501145 <br /> Issue Date: 05/06/2015 <br /> BUILDING PERMIT RELEASE FORM <br /> PROJECT APPLICANT <br /> APN 20946004 Quad:NE Name SHAWN HARVEY <br /> Address 17746 W VON SOSTEN RD Address 6588 TRAHERN RD <br /> TRAC,CA 95304 City MANTECA CA 95337 <br /> Telephone Telephone 4011282 <br /> PROJECT NAME/PA#: <br /> PROJECT DESCRIPTION: FARM EMPLOYEE MH ON TEMP FOUNDATION <br /> FLOOD HAZARD INFORMATION: <br /> Zone:X COMMUNITY PANEL: 060299-034OF DATE: <br /> XJ This site is not located within a Federal Flood Insurance Rate map Designated Flood Hazard Area. <br /> ❑ This site is located within a Federal Flood insurance Rate map Designated Flood Hazard Area. <br /> The 100-Year Flood Elevation will be approximately 0 feet NGVD. <br /> The 100-Year Flood Depth will be approximately 0 foot/feet above natural ground elevation. <br /> ❑X Finished Floor is EXEMPT from 100-Year Flood Elevation. <br /> IMPROVEMENT PLANS REQUIRED ❑ <br /> CALTRANS PERMIT REQUIRED <br /> RECLAMATION DISTRICT REQUIRED <br /> ON-SITE DRAINAGE(RESIDENTIAL) REQUIRED <br /> RESIDENTIAL DRIVEWAYONLY.- <br /> F—]Pavetl or Concrete Driveway(s)requiretl prior to final occnpattcy. I acknowledge the Driveivay(s)will be paved as required <br /> by the Encroachment Permit(EP)and inspected by the Department of Public Works prior to the Final Building Inspection. <br /> A TEMPORA R Y GRA VEL DRI VE WA YAPPRA 0 CH SHALL BE CONSTRUCTED PRIOR TO STARTING BUILDING <br /> CONSTRUCTION. <br /> MI acknowledge that the existing driveivay is paved with Concrete or Asphalt Concrete, therefore an Encroachment Permit <br /> (EP) is not required. <br /> Not Applicable. - <br /> APPLICANT SIGNATURE-TITLE: DATE: <br /> The Department of Public Works hereby authorizes the issuance of the Building Permit as noted above and that all the required fees and <br /> conditions have been satisfied. <br /> Approved By: 7 Z z //_"---" DATE: <br />