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Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N <br /> 7 <br /> Owner's Name e,f- <br /> Subid.name <br /> Address''�-Ilf,.' map 4 <br /> bl/IDt 0— <br /> City Zip phone <br /> Census Tr. <br /> APPI icani s NameV Setback: <br /> Contractor ]Owner avj <br /> Address L) front <br /> City r <br /> Zip phone left <br /> 611 <br /> right <br /> Precise location of property f J D rear <br /> Yes 140 <br /> sewers <br /> Structure address water system <br /> Proposed Use Of structures] )< system_E-1 1-1 <br /> DRAWLocation of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot or parcel involved,showing shape dimensions (7 Irrigation or drainages ditches,waterways and drainage ponding areas <br /> jb) Abutting streets and other right-of-way and/or easements (g)Location of existing and proposed driveways and encroachments <br /> fc) The locations of all existing building and distances to lot lines (h)Levees,with the crown shown <br /> 1d) The locations of existing and proposed septic tan.!FaA.SI4s \t40)WITH DOTTED LINES,THE PROPOSED STRUCT1.14 of ADDITION <br /> r <br /> A' <br /> @ <br /> S) <br /> 4)" <br /> 77i <br /> 17t," <br /> 7 <br /> rr <br /> r <br /> C VI <br /> r <br /> T <br /> �5 <br /> Applicant certifies that the property for which the APPROVAL ht de <br /> 'bed as above and that all existing"r"c 1,�,on the-pr-pe�ry ar� <br /> 1Tg 1,737 -F, 1 6" <br /> shown on the above ptot plan. Lf <br /> DaleZ/lz:�, <br /> Applicant's Signakure`�'L <br /> •PLANNING DIV. 1810 E.Haze Hon Avenue • PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> L Property meets zoning requirem%ajw both/ 1.PROPOSAL APPROVED SUBJECr- ENVIRONMENTAL HEALTH DIVISION <br /> use and conttfuction 1601 E.Hazelton Avenue <br /> 'es A. Encroachment Permit required <br /> __t <br /> No E-1 Zone B. Surface drainage established as shown ED 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees -A.Obtaining-sanjtatlon_permil <br /> A.School district fee a, Connection Fee— F-) <br /> _ 9.Obtain-well/pump. permit <br /> 0. Floodway as shown b. D 6 C.Change noted <br /> rn Lj-lo2.PROPOSAL DENIED <br /> C,Flood fringe—L7 2.REMARK <br /> D.Noise impact 4KS <br /> 3.PARCEL MAP VO. Ej 3.FtFMA1 <br /> 4,REJ 1�. date—'Z by j')- CXV_V_ <br /> MARKS Ldato by <br /> FLOOD CONTROL: date <br /> lYhy.-I bye in <br /> kint Plan Valid Until/ <br />