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.s. �,rr'..,1-�`.yM4M;}1.'r-'f►i7rMil�: ij�w+.9'.. ry:�.,.,R�- 'M"�Ti+•dX1•• ��„yi o,._. -..- .. +.�(�/'[// qp.��:. i.x,fit.,,�.i'. .,�„t ,.r , <br /> • J ll <br /> Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N. <br /> Owner's Nameme ln S f` ^r � _ w Subd.naf <br /> Address IN——— t� r� <br /> .. o uq mp a <br /> a <br /> City ��r � �'�_ Zjp—� phot bl%lot a <br /> / <br /> Applicant's Name Census Tr. <br /> Contractor Owner Setback: <br /> Address 4`- front d <br /> City Zip �_ phone left <br /> _'. . - - right .,.__ <br /> Precise location of property rear �f~ <br /> �auTi't tNST 5/QE' �F ASD/ic E �/AtJ� :�(? �"eYes No <br /> — � (( rv7/1�P_D C/.:' sewers_ p Q <br /> Structure addre3 . water system.—Q C] V <br /> Proposed use ofstructure(s)150 - // / /� drainage system_ <br /> DRAW (e)Location of minimum sew ge disposal area for septic tank and leach lines Y <br /> lal The lot or parcel involved,showing shape b dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of•way and/or easements (g)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 locations of existing and proposed septic tanks and wells (i)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> T$ed <br /> 4.. <br /> 00 <br /> _.i_.._t 1 1 1t .. ..I 14 <br /> ti <br /> Y <br /> $ Q i <br /> ' <br /> ! "D <br /> Cb <br /> F"- i <br /> —: Y <br /> • <br /> " M <br /> 71 <br /> +}-}� <br /> t <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structur16n the property are <br /> shown on the above plot plan. ,• „r. ' <br /> Date V Ir Applicant's Signature <br /> •PLANNING DIV_ 1810 E.Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. LOCAL HEALTH DISTRICT <br /> 1.Property meets zoning requirements for both T.PROPOSAL APPROVED SUBJECT TO: , ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required__ ] 1601 E.Hazelton Avenue <br /> Yes t—! Np�oI[D� Zone _ B. Surface drainage established as 44— 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL i.'ONDITIONS C. Fees A.Obtaining sanitation permit } <br /> A.School district fee__. a. Connection Fee <br /> _— ...i B.Obtain well/pump permit , <br /> B. Floodway as shown S7e!'tYa?fi/ b. Buy-in-fee .._ (Lj C.Change noted__ _�X, <br /> C.Flood fringe J 2.REMARKS — 2.PROPOSAL DENIED. a <br /> D.Noise impact_. ri <br /> J1 <br /> 3.PARCEL MAP NO. �y�—" _ 3.REMARKS____ <br /> .._ <br /> im <br /> 4.REMARKS date � ' - <br /> ,L <br /> FLOOD CONTROL: date <br /> date-' 1 _by ____...- I by --- ,t .7 e�pG. .-ro/as <br /> Plot Plan Valid Until <br />