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t <br /> Dlot Plan Application <br /> AN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> W O - A.P.N. 2 4-7 <br /> wner's Name 5' <br /> �Subd.name <br /> Address "'02ni � mapp <br /> City 7.�A G l/ zip 9x376 phone �8'�S-x.739 bl/lot x <br /> AII� C Ix � ��4t�i�i� y Census.Tr. <br /> opt kant's Name i WC7 <br /> C:] Contractor er Setback: / <br /> Address <br /> S /n_T Lr1!/ 1 V �. front G <br /> � <br /> City 2!2.1ay zip 2,4ra phone A_�1=Fz39 left ft[ ` ' <br /> recise location of property � S. �' t`'-� �' �Y.. rear <br /> GC C� �llI Al Yes No . <br /> �f sewers I� <br /> acture address ��/�1S Ld�/CL 1/ iC�•. $���� )- Ti�K.,"/U la. ,,�� (.L waters stem_ <br /> rQp osed-use of structure(s) • %-,i✓,� Qoo+�- ,,QQ.-jdrainage system_0 <br /> 4,,{:'1i/^r.lr ft :-r �'.r:cc FS I;,Ied : Fhr yr7�P) okit AD <br /> DRAWn- — a <br /> (e);Location of minimum sewage'tli3posal area for septic tank and leach lines <br /> (a) The lot or parcel involved, showing shape &dimensions (f)„Irrigation or drainages ditchd5, waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of-way and/or easements (s)Location of existing and proposed driveways and encroachments _ <br /> (c) The locations of all existing building and distances to lot lines (h)Levees, with the crown shown <br /> (d) The i existing an proposesepticn s and H LINTHE-PROPOSED <br /> STRUCTURE or ADDITION <br /> f — <br /> t' <br /> F <br /> l r :— <br /> ; <br /> Nat <br /> it <br /> __ .. <br /> I _ - - 7-77777 <br /> ; <br /> � - - - <br /> A\ 7-, <br /> Lol <br /> It <br /> T ...._. _._ <br /> - - - <br /> — -' - -- <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 /> I. Property meets zoning requirements for both 1. PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL 1' ENVIRONMENTAL HEALTHDIVISIONuse and c�"struction A. Encroachment Permit required F'P"�� 1601 E. Hazelton Avenue <br /> Yes 7 No =1 zone r�q - °19 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 =1a. Connection Fee O B. Obtain well/pump permit <br /> B. Floodway as shown _ 0 b. Buy- <br /> I -fee C. Change noted <br /> C. Flood fringe O 2. REMARKS frcwa+ r ik ty• El 2. PROPOSAL DENIED <br /> D. Noise impact— i-- <br /> L 11 Xk"A r,,c:r� �1 3{r,�REMAR KS nt� � <br /> 3. PARCEL MAP NO. date ��_by I. . _ Xl <br /> 4. REMARKS r <br /> .r FLOOD CONTROL: dateel' <br /> date�)( by byc � � —?ecD G. rr+%P. r” le/ea <br /> ���rDJec� ill-lid <br />