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Plot Pian Applic,, Jon <br /> SAN dOAQUIN COUNTY DEPARTMENT OF PL&R_W G R_ND.BUILDING-INSPECTION <br /> Owner's Name a t L1- Q r <br /> Address l f i p !l3. '�-f U..t., t € Subd.name <br /> C(tY �- LJ I Zip _f y 14 C1 '3/ 'nap#-_, <br /> phone 2''`4�-4-�4 S III/lot 4t - <br /> Appl - <br /> l.�u.�i7l_i�S t vE U�qc- �10hlcv5C;l a Cil r7ur/Ill f� Census Tr.�� <br /> LI;J�ontractor d Owner Setback: <br /> Address. � .' S • {c (.. f tract <br /> ZipS left <br /> City 4 Ci-r` <br /> s <br /> phare��ri�f <br /> Precise location of propertyi-,- - N I b59' (�„ �} (� --- right v <br /> Structure address Yes No <br /> t I11�4 "q~ ' sewers Q Q <br /> Proposed use of structure(sl .SW, _ -rill^i - { water system_q d <br /> drainage system-0 0 <br /> - _-.- - <br /> (a]The lot or parcel,involved,showicg shape&d(rrpnsivns {e!location of minimum sewage disposal area for septic tank and leach tines <br /> (b) Abuttiog streets and other right-- ay and/a easements (r}.Irrigatian or drainages ditches,waterways and drainage Ponding areas <br /> (c1 The locations of ail exist(ng bu(,d(n,and distances to lot lines (g)Location Of existing and proposed driveways and encroachments <br /> (d) The locations or existing and proposed septic tanks and wells (h)Levees,with the crown shown <br /> — - fll WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION. <br /> rFi <br /> TOW <br /> �, <br /> -- I _ �y - _ '• ,�� � { -�`•I4-{- <br />{ l — - <br /> �i r <br /> . <br /> _i <br /> iIf <br /> i <br /> �-� �—i{- ly is C <br /> — rr .P <br /> 41-1 i I --'"t <br /> i T- <br /> ' <br /> i .- <br /> I <br /> a 1, 4 <br /> AppUcant certifies that the property for which the APPROVAL is sought(s described as shove and that all a tin str <br /> shown on the above plot plan. B rlure$ n theproperty are, I <br /> Pate `t CJ <br /> Applicant's Signator <br /> •PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORI(S DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> �°PertY meets zoning requirements for both I.PROPOSAL APPROVED SUB,IEC <br /> use and can tructlan ENVIRONMENTAL HEALTH DIVISION <br /> ,���71 A. Encroachment Permit required 'C 1601 E.Hazelton Avenue <br /> Yes [ I Zalie.L t! a.'S��drainage established as shown p L PROPOSAL APPROVED SUBJECT T0: <br /> 1.SPEC IAL CONOITI OHS <br /> A,School oy as l fee_� C. Fees A.Obtaining sanitation permit <br /> 8, Flotdway as shown a. Connection Fees` ED <br /> B �laln 0011/u <br /> Q b- Buy-P9 P mp permit p� <br /> C•Flood fringe 2 RE RttS f[rr"r C.Change noted <br /> D,Hulse Impact PROPOSAL DENIED <br /> 3.PARCEL MAP NO�4� �} MI � ~ f- C (REMARKS 0. <br /> 4. RKS date ^ by Eo& YU be IF+I f/N�W 17L'�r� <br /> — <br /> FLOOD CONTROL; date <br /> f date by date <br /> /�}} <br /> by f/,Y JiY1 rr hLt <br /> ® 6I• C-INS.. 14 10/03 <br /> - P1nC 1 n Va id IIntil � ; <br />