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Plot Plan Appli tion 4�t(g I" <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> C r <br /> Owner's Name S T - � .. ;' A.P.N.1 � <br /> Address <br /> mia' <br /> City f� C� Zip -- - <br /> a <br /> ._ phone bl/lot K <br /> Applicant's Name _11ME5, t`� Census Tr. <br /> 00 <br /> _ Contractor d Owner Setback; ?.1 <br /> Address —'^_]"`/�1/0lJ.01 l II front_ Jv <br /> City-- Zip 2D_0i Q /�G left -- <br /> phone .4` -(--SL,.-� <br /> ' I I right <br /> 1 r� <br /> Precise location of property EL `•f b U'7,1 c,,jsF <v rear_ �-J <br /> / I r _ - Yes No <br /> Structure address Q"- z� t ��/()Q` ( �/ -� '� �` - ,r U - sewers O <br /> R GC J �'�' ¢G G�f�N water system_[] C-1 <br /> Proposed use of structure(s) —_t_�_ f' �11� drainage system—M Fj <br /> DRAW lel Location of minimum sewage disposal area for septic tank and leach Jines <br /> (al The lot or partel involved,showing shape A dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> [61 AtwI, streets and other right-of-way arid/or easements (g)Location of existing and proposed driveways and encroachments <br /> (c) The localions of all existing building and distances to lot lines (h)Levees,with the crown shown <br /> '- y is Tanks and we iD T7E fN E5,7 P 0 QgE STR T RE or ADDITION <br /> The locations of existing and proposed septic Is 11 WITH t �CE" pe r lNC.7� ] K ' " <br /> r�7,i <br /> North <br /> I t <br /> 1 —— -- <br /> _ . . <br /> ---- - <br /> *_W fAM - - <br /> - LL by S+IV T�)cU+a <br /> >�n <br /> _... -. <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> shown on the above plot plan. - <br /> r0-1$--x�' r <br /> '- Date __ Applicants Signature 1',41�1�' <br /> .PLANNING DIV. 1810 E.Hazelton Avenue • PUBLIC WORKS'DEPT. '1810 E.HazeltomAve. • LOCAL HEALTH DISTRICT <br /> 1.Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJE>JT TO;I ENVIRONMENTAL HEALTH DIVISION <br /> use and cogstruction �- A. Encroachment Permit requireFL� ED 1601 E.Hazelton Avenue <br /> Yes (` No (;1 Zone `�' B, Surface drainage established as shown 1.PROPOSAL APPROVED SUBJECT TO: <br /> / <br /> 2.SPECIAL CONDITIONS C. Pees A.Obtaining sanitation permit <br /> A.School district fee {-1 a. Connection Fee--_ (--I B.Obtain well/pump permit IC <br /> B. Floodway as shown L-1 b. Buy-in-fee (� C.Change noted <br /> C.Flood fringe 2.REMARK!"' <br /> 2.PROPOSAL D,E IED <br /> D,Noise impact [ _ <br /> 3.PARCEL MAP *`- 3.REMARKS <br /> 4.REMARKS--�'� A: Jf <br /> dale by <br /> -_ -r FLOOD CONTROL: date _ <br /> f f <br /> by 'bY- ` eLoc. oN SP. 14 Iaiea <br /> Plot Plan Valid Until b f <br />