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j. Plot Plan Application <br /> SAN_JOAQUIN COUNTY DEPARTM NT 0 WMING AND BUILDING INSPECTION_ �r <br /> 3tLr_ Lai A.P.N. r' LG-yI <br /> Owner",Name <br /> Address I ik ?.4 K.I. ��,t�;lf—L� •••..— Sdw.name ' <br /> {-..th LJ <br /> City Zip C=f 5 1-- 4�C� Phone�"2e""'7�4r ci map hl/lot ir •�� <br /> Applicant's Name pfo-jAn'1 l.�V,:tJ.JC:ll� C:aE C+c.1gL' 4:IfJt� • Census Tr. <br /> [ yeantractor p Owner Setback: <br /> t Address. S - L . ., front <br /> city-.Lo z.C�. 'v <br /> I Zlp ptarrle���-7•lr-�"L)J raft O <br /> c] right <br /> Preeisa location of property Ct•• N'� G'-1- {{c:U- LF 4• ,..—` <br /> Yes No <br /> Structure address iQ Cj Lj.)' 1 sewers ID 0 <br /> Proposed use ofstructure(s) +, _ ' •-r•IrI71 {-{i]t:'.r water system—p 0drainage system_ <br /> DRAW tel Location of minimum Sewage disposal area for septic tank and leach line <br /> r la)The lot or parte!Involved,showing shape&dkognskons (fation)Irr ,waterways and drains e <br /> (h)AbuttlnR streets and other right-of-way and/or easements ta or drainages ditches �' $ pending areas s <br /> tc)The locations d all existing building and dislancea to lot lines 1h)Locaation Ofh thecrown shown <br /> ling and sed driveways and encroachr"nis <br /> (d)The locations of existing and Proposed septic tanks and wells Ii)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> -) k <br /> r r <br /> ''- I y <br /> Nat <br /> &7 1 <br /> FF� u�m � <br /> ' �' t '' 1 y---� '-rF--•-F--`•T :? tet. ... -� r .. ^ti <br /> t <br /> r <br /> 7T 7 <br /> V111 <br /> y I <br /> 777 <br /> F I+ I Imo--'-,T' II ��, , -rf-,- ---- <br /> �- f f 'T1-,- <br /> 77 <br /> - - <br /> - `.r'1'�'ty „I 1..:.. r —.r.r i •W <br /> I Applicant mrtifies that the property for which the APPROVAL is sought Is described as above and that all a lin str �,. <br /> shown on+the above plot plan, f P Wres`D�nrtta/property are <br /> Date Q 9-C7 <br /> Applicant's Signator r` ������ ••• <br /> •PLANNING DIVs ing q Hazelton Avenue .PUBLIC W_,._ pRt(5 pEP7_ D S E,Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> 1. +ope���tY meets zoning requirements ror both T przOPOSAL APPROVED SUBJEC���,. <br /> use and construction A. Encroachment Permit required ' ENVIRONMENTAL HEALTH DIVISION <br /> Yes I> o Zana-��y�-- q (-j Hazelton Avenue <br /> 2.SPECIAL CONDITIONS B. Surface drainage established as shown 1j 3.PROPOSAL APPROVED SUBJECT TO: <br /> A.School dlnuict fee—�/ C. Fees A,Ob <br /> a.Connection Fee tAining Sanitation permit <br /> B.Floodway aS shrnva B.Obtain wall/pump permit <br /> C.Flood fringe CD 2, D' &'y r Q C.Change noted _ <br /> D,Noise Impact 0 Rry �Kj PROPOSAL DENIED_ ' <br /> D.PARCEL MAP NO. t N <br /> + E- V-thREMARAS p -C f <br /> 4. RKS date by'� 1"ru °) rlhll*.11� tr <br /> date <br /> FLOOD CONTROL.date�,_,-,�_by <br /> OY1ir.gncc 3O! 4 <br /> ®ai c.rHsa. r4 teras <br /> Plot 1 Va id Until <br /> _ bD -7&-71 <br />