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Plot Plan Application , <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECT-ION /� <br /> A.P.N� `�� <br /> .Owner's Name •"� � - •r <br /> Subd_name �,J\ <br /> Address The <br /> ma <br /> City ' a/c a n.r l'. /• Zip phone-4411,ti_ /_— bl/I t a <br /> Applicant's Name Census Tr. <br /> C-3 Contractor [ Owner Setback: <br /> Address. --— - front_ <br /> City Zip phone left <br /> --- right 42 <br /> Precise location of property _ rear_ <br /> Yes No <br /> Structure address sewers O D' <br /> water system_O O <br /> Proposed use of structure(s) drainage system_p p <br /> _ _ <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-I-way and/or easements (g)Location of existing and proposed driveways and encroachments <br /> (c)The locations of all existing building and distances to It lines (h)Levees,with the crown shown <br /> (d)The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> �.:. <br /> i <br /> s <br /> E- ,t- <br /> -Y.7� <br /> - Nares <br /> - - - - <br /> r <br /> ' -Y-�- <br /> 1— <br /> 1-41� ;7 ~ T' <br /> T..�._.—r-..— <br /> u L' <br /> n r <br /> -7 -41 4r <br /> 17 <br /> � 1 <br /> I <br /> T + <br /> : <br /> V-7 <br /> r � r <br /> r <br /> i Lit <br /> 1 Tr <br /> r_ _ <br /> r 1'„ _ <br /> Applicant certifies that the property for which the APPROVAL,is s I de sc r I b`.ijb6§.t Jr that allescist g structures on the property are <br /> shown on the above plot plan. n / ' <br /> Date Z2 -7, 9- Applica/ nt'n � %. _!� <br /> a Signatur , <br /> -17 <br /> a PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT �- <br /> 1.Property meets zoning requirements for both T.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> (t use and cons tion A. Encroachment Permit required =k% 1601 E.Hazelton Avenue <br /> tYes No p Zone '�O B. Surface drainage established as shown F-11.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees <br /> ,n A,School district fee a. Connection Feepermit <br /> n• B, Floodway as shown O B,A,Obtains sanitation Obtain well/pump permit <br /> CD b. Buys p C.Change noted <br /> C.Flood fringe QO 2.REMARKS �5Q 2.PROPOSAL DENIED <br /> ` <br /> D.Noise impact ' <br /> .PARCEL MAP N ^V 3.REMARKS?u •. .6 <- .f- <br /> 4.REMARKS - <br /> date M �,�r a <br /> � <br /> FLO CONTROL date date f ' ` � Iy <br /> I dot by by � '�®{se.ol.iAtpk- sa <br /> Plot 71an Valid Until <br />