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VNW <br /> Xz ; <br /> _ Plot Flan Application <br /> SAN.JOAQUIN COUNTY DEPARTMENT.OF PLANNING AND BUILDING INSPECTION <br /> Owner's Name Martin L. b Jeraldine Church <br /> A.P.N. 0/7-/9'4D-20 <br /> Address— ff.la rJ 12. kr..: Subd_name <br /> City Acampo, CA 21p 95220 369-7381 map lr <br /> --- phone bl/lot a <br /> AAplicant.'s Name M Church Census Tr. �'�� -` <br /> r (_)Contractor Do Owner Setback; <br /> Address 6685 E. Woodbridge RD !font 3c, <br /> City Acampa Ca Zip 95220phi •369-7381 left 70 <br /> right �n <br /> Precise local ion d property h • ]ar-i a'Rd-. Ar'etem1i0., ��-; /UCkr�.� S.dE: Cr r- Y �O <br /> Wc'nj]8Aa6 C rear <br /> 4 �o.se z,�oo ar r,rsr C,c kGy�lCFrr�c )2.a AJG n� Lr <br /> 10 Yes No <br /> Struaweaddres! 6685 E. Woodbridge Rd. Acampo, Ca 95220 sewers <br /> Proposed use of j,yr_'[LI,v water system_[-] <br /> _- drainagesystem_Cl LST <br /> DRAW <br /> (al The lot a parcel Involved,showing shape d dimensions (e)Location of minimum sewage disposal area for septic lank and leach lines <br /> (a) The lot sweets and other rshowinway ae& easements (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (c)The lucalions of all erisling building and distances to lot Imes (g)Location i existing and proposed driveways arxl encroachments <br /> (d) The locations d existingand fir)Levees,with the crown shown <br /> p oposed septic tanks and well! I WITH DOTTED <br /> r <br /> -- Ill OT LINES,THE PROPOSED STRUCTURE or ADDITION <br /> j <br /> Fui1kX17 UJ;iJc{1P2D5 <br /> North r <br /> a <br /> I I <br /> ov <br /> r � { I � I 1�1¢,r�•fi�ia�A1- TaMF -. I ' r�+V G Cl.r � <br /> 1� I -i t r 11 17- H/ r AJ <br /> QI I_�7�-- lf � -�-.�` ��r I- �'�/ ' �`7�� 3 <br /> 1 7- <br /> 1 rL I I I v 1 <br /> �. <br /> PArsRNrl _ h I ! f I_° 1 I. S'l i¢Tj!lJ M <br /> - - T L r' �� <br /> TI-- -{.�_ <br /> ' i ist�; jI I; u:1.' if <br /> :J ! j'� �1II T I aC <br /> i _ (� <br /> t I I ++ Airo <br /> xJ14 <br /> o•• 'sfi� --a I"I -I 1 NA' T'I -3Y N Irl I �oppvar r^ <br /> r k <br /> +�•y ' -E-r' - <br /> I 't• I -t tvJ 6� 26wuA f r <br /> w6 ' �.L I i �� <br /> , 53 3 <br /> IZjI Il_w00015Rid'b6 I <br /> Ll <br /> I I -� <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existln structures the roperly are <br /> shover on the above plot plan. <br /> i <br /> Date Applicant's Signature <br /> • V <br /> •PLANNING DIV. 1910 E.Hazetton Avenue .PUBLIC WORKS DEPT. 1810 E-Hazel Ave. .LOCAL HEALTH DISTRICT <br /> �Pr operty meets zonlrtg requirements for both T.PROPOSAL APPROVED SUB <br /> J EC,Tj <br /> use and construction rr�� ENVIRONMENTAL HEALTH DIVISION 1 <br /> _¢� A. Encroachment Permit required ' (D 16ii1 E.Hazelton Avenue <br /> Yes .1 No I Zone 4 B. Surface drainage established as shown Lj 1.PROPOSAL APPROVED SUBJECT T0; 1 <br /> 2.SPECIAL CONDITIONS C. Fees <br /> ' A.Schooldistricl fee L��7 �� A.Obtaining sanitation permit" <br /> _.I a, Connection Fed_ � f � <br /> B, Floodway as shover 1_J 8.C.Change <br /> noted well/pump permit <br /> CJ b. buy-tri-fee [� C.Change noted O <br /> C.Flood fringe L� 2.REMARKS__ ' - .-r` <br /> D.Noise impact - CJ �} �i�-1?-- 2.PROPOSAL DENIED <br /> 3.PARCEL MAP No.—__ _ 3.REMARKS A '7 <br /> K <br /> d.REMARKS 4 PPOVL A SL=[b,IJp dale M <br /> Iltilr2-6Wf--1-cinJcr kS 51dowAl -Ci-n�- <br /> _ FLOOD CONTROL; date date by <br /> � eLnti.INSP. a Ie/•! <br /> Pln[ Plan Valid Until L " -37 <br /> V S-6 -S- 9-/z <br />