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vl1 L E-L^1.4 <br /> Arplication # PSI 16 0 W 5 <br /> Received By t2-4- On <br /> MST. ADJUSTMENT <br /> NO. <br /> AIN <br /> Nr>'• S�GVGH R ACCEPTED FOR REVIEW <br /> a%1090' OL S TE S DN <br /> M,R9NY t CA <br /> BY COMMITTEE ACTItlN <br /> 1 APPROVED <br /> DISAPPROVED <br /> g � <br /> FARMINI TON APPROVER WITH CONDITIONS <br /> r <br /> DATED <br /> 'ACINI <br /> lP C ITYII MAP <br /> THE APPROVAL OR CONDITIONAL <br /> APPROVAL OF NIS MAP SHALL BE <br /> VALID FOR TWO YEARS. ALL <br /> NEW LEACH PR INSTAl1ED mm CONDITIONS MIST BE COMPLETED <br /> PERMIT BY VITHM THAT TIME PERIOD <br /> 'PARMSH R SOIS- INCLUDING SUBMISSION OF A <br /> IN OCTOBER,2016. PARE NAP. <br /> FNILD LOCATON PRONDED BY Not <br /> *FARIEY WRVEMV o <br /> P� P <br /> L DIRECTOR PLANNING DEPARTMENT <br /> SAN JOAQUIN CORNTY <br /> 1' — 100' <br /> Y <br /> Mp H <br /> OWNER'S NAME <br /> � . <br /> ADDRESS <br /> iELEP1IDIlE <br /> AGENT'S NAME FMtLEY'S SLRVEYIDG INK1 <br /> ADDRESS 730011 VEST IH <br /> STOCNTO,CA 9520 <br /> 0319)173-3613 <br /> ( )649 9903 CELL <br /> BUILDINGS AND STRtIDTLRES <br /> �SHOVN11 <br /> NONE <br /> it IAIA.FAV1P11 1'iLTWIfT[T <br /> O ADDRESS ST�T�3 OMAarc� D STRUCi11RES NONE <br /> TELEPHONE 209-166-7118 <br /> DOMESTIC WATER <br /> t 5-29G't2 x ®PRIVATE WELL <br /> Fp N S GNATLRE OF OWNER EIVATER COMPANY <br /> x <br /> SIGNATURE OF OWNER STREET IMPROVENEHTS <br /> ®NONE PROPOSED 0 AS SICIVN <br /> SEVAGE DISPOSAL <br /> JR SEPTIC 0 SEVERS <br /> OWNER'S NAME eRAw STEL:& <br /> STERNE <br /> ADDRESS I8 <br /> 01 S.GILLLHI RA NATURAIL <br /> El SEVERS <br /> Tre ex PILO pawl IA TJ29 Ae. oe Ahem w Rwad Of Suety VN.24,P9 115 STOOROI,CA 95813 <br /> TMA nn amDgvwllw <br /> W. <br /> 6e the won.1.322 An TELEPHONE 209-166-7118Tho ARLEY'S SURVEYING <br /> In wMytnnanp to the'P>col Pwp EA the nowl of Pronely <br /> vBl nal n olunn a ethle M Aa.a9., 500 N. WEST LN STOCKTON, CA. 95210 <br /> IaP 1nr w Www w imn Map. X <br /> SIGNATURE OF OWNER 209-549-9005 FLAN: 11MR\EYORM COI <br /> x DATE, NOV. 2015 DRAVNBY.MDF SINEEr <br /> SCALES <br /> SIGNATLRE OF OWNER <br /> AS SXOWN .IDB 1ID.� <br />