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v �,a SITE INFORMATION AND AUTHORIZATION <br /> San Joaquin County <br /> Community Development Department G yo o o w r7 t 0 10 <br /> 1810 E.Hazelton Ave.,Stockton,CA 95201 v o o <br /> Phone(209)46&3121 Fax(209)468-3163 G S �V <br /> Job Site Address:21025 S JACK TONE RD RIPO Cross Str F R�nrcR.� S p c.o s o° <br /> Owner Name:VAN GRONINGEN,DALE A&PATRICIA 'APN:22811001 o n o o <br /> Owner Address:21171 JACK TONE RD,RIPON CA 95366-9603 —-- a <br /> 67 <br /> Precise Location:ON THE WEST SIDE OF S.JACK TONE RD,2600 FEET NORTH OF E.RIVER RD,RIPON a <br /> Subdivision Name:NA Lot#: Historical Map App#: a a g A d <br /> g �� d <br /> Current Zonin AGO Setbacks: Front-30 Left-10 Right-10 Rear-30 Height-35 G 9 <br /> School Districts:RIPON UNIFIED,RIPON UNIFIED Fire District RIPON rA o z e $Q G 9.1 y b <br /> Approved Use:DEMO EXISTING SFR AND REPLACE WITH NEW SFR m " o' S r O (:) 1..( <br /> o �o Segs Jj I W <br /> Im rovement Plan T e Project Subtype:- ' B o 0 <br /> MINOR:❑ GENERAL MAJOR:❑ N/A: X❑ Planning Project#: Exp.Date: <br /> e g =' " <br /> SPECIAL AREAS . F 0 Z-' o <br /> Subsidence Area:NO Ex ansive Sol]Area:NONE , cr R a g b t3 <br /> Fire Hazard Area:none Airport Zone:none 6 a 15 <br /> 10 <br /> Ente rise Zone:none SJAFCA:non �' w g <br /> o w o <br /> fin �1 <br /> COMMENTS � c� a ���a•�" � l�rJ7 <br /> EXISTING HOUSE USES 21171 S.JACK TONE RD,BUT IT IS OUT OFR.a <br /> SEQUENCE AND ITS NOT IN OUR SYSTEM r' <br /> a v <br /> CREATING NEW ADDRESS 21025 S.JACK TONE RD I ` o O <br /> F N rn <br /> P <br /> 1 p <br /> V,V' <br /> n <br /> V C] C On -it <br /> Plan Check Only.❑ Fire Road Requi :Q Inspection Area:5B o:3 p <br /> G <br /> Planning Approval: 1 -N� Date: 01-03-2018 a cr117y <br /> 0 0 <br /> o m o <br /> PUBLIC WORKS DEPARTMENT <br /> 1 0 o <br /> Sewer District: none Water District: none Storm District: none ti 2,p' <br /> n <br /> Flood Certificate Required Prior to Final Inspection:Yes❑No <br /> G. N a 1> <br /> Storm Drainage Pond Required On-Site: Yes❑ No , �'oa \0 [a. � <br /> Total Volumne of Required Rentention Pond: (Requited for All Ort-site Palls) `< g � <br /> Ps#. i o cn S <br /> g b t7 <br /> Preliminary Plan Check Clearance Approval: Date: <br /> All Public Works requirements have been met and release is "' q <br /> hereby approved for Building Permit issuance. e <br /> No Release Certificate Is required. <br /> ro 6 <br /> Public Works Approval Signature: [ Date:1 '�� �.f <br /> - x 64S E s <br />