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t <br /> 'lot Plan Application <br /> AN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N. r iE <br /> W' <br /> wner's Name Subd.name <br /> Address -wt— �;— LQ!/E mpg <br /> City ;22AG 1 Zip phone �.3s= X39 bl/lot o <br /> ,. <br /> O o L' Census.Tr. <br /> pplicant's Name Setback: <br /> [�j Contractor er <br /> ' front .�G <br /> Address. lair—.I <br /> r1 <br /> City 2206? 0 Zip 9ys�,�G phone ? r-9Z 3 9_ <br /> L / <br /> right I L;� <br /> recise location of property G /' �` C, t rear I-� / <br /> N;. ,`i !tel - r. �C,I Yes No <br /> sewers <br /> mcture address �r�/7r LrJ//CL 1/ .0(' $�a�� aM., (j watersystem_I� <br /> rpp oseduse of structures) ' 8-r� ' Poor'"' drainage system—� <br /> ;t Arils .i, },� `G ir:aI,ce FS Ii-ted FA IOC- _ <br /> DRAW (e),L.ocatlon of minimum sewage•dilposal area for septic tank and leach lines <br /> (a) The lot or parcel involved, showing shape &dimensions (f)'Irrigation or drainages ditchAS, waterways and drainage ponding areas <br /> (ti) Abutting streets and other right-of-way and/or easements (g)Location of existing and proposed driveways and encroachments ( p <br /> Town <br /> V/ <br /> (c) The locations of all existing building and distances to lot lines (h) Levees with the crown s <br /> (d) The locations of existing and proposed septic tanks and well ) TH OTTED LINES, HE'PROPOSED STRUCTURE or ADDITION <br /> -r--•� �- <br /> North <br /> I ` <br /> - r r - <br /> ki 77 <br /> T — <br /> 44 <br /> _Y_ — -_ <br /> I <br /> • <br /> Irz <br /> _ _ i- <br /> 1_7a <br /> ' <br /> _I� t <br /> — --- <br /> pplicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> nown on the above plot plan. <br /> ate s— O Applicant's Signature <br /> PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810.E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> 1. Property meets zoning requirements for both 1. PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> useand�c `'struction A. Encroachment Permit required, LL11! 1601 E. Hazelton Avenue <br /> Yes (� No = Zone G� ��_ B, Surface drainage established as shown 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit <br /> A. School district fee p a. Connection Fee B. Obtain well/pump.pormlt <br /> B, Floodway as shown b. Buy-In-fee C. Change noted O <br /> C. Flood fringe O 2, REMARKS uci P ' o-rwr\ dui . *v r yyt. 2. PROPOSAL DEN ED <br /> D. Noise impact ry <� „ i REMARKS <br /> 3. PARCEL MAP N0. date by 11 rk,.-, - <br /> 4. REMARKS <br /> Sr t '4�Crb <br /> tlatd_�;r" y <br /> FLOOD CONTROLt date <br /> tlere by I by �'iC R'�'"^"' DG.. INP. 14 le/ea <br /> Fl�ploJec{ MIL <br /> i I I d'/�✓flo LA ti nn <br />