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plot Plan Application `' ?' <br /> SAN JOAQUIN COUNTY DEPARTMENT JIUNNING AND BUILDING.IN <br /> f'�t�" -77a-02�`k, <br /> Owner's Name — / <br /> Address l ,✓ Subd.naaie <br /> City ? ptr tape <br /> 1r' �/v�1 5 Zip 0�.7a� DAon�o'�{� 61/tote <br /> Applicant's Name Census Tr. <br /> []Contractor t`)Amer Setback: <br /> Address i3 G - =A.,r t � b•f..- �._ 4- ' front �/y t << <br /> City `' ZIP left__ <br /> phone �-—-T— <br /> fi - right �hs <br /> Pit):jse to-cation of property, <br /> r —�oor,61 t/�ST $/DE' of AQP/�tlE' /Plri9D ,I rear <br /> Structure addrelsai p <br /> q <br /> Proposed se o/ / <br /> �• P ��� water system J <br /> Prustruclwe(s drainage system <br /> _�. �'Sltlr"I c f _lQLL�r "11 <br /> DRAW �riq,4W+.r...�..r. <br /> Ial TM t w Da1116.9flng <br /> glyedftiowi shape amenfol t.ocallon of minimum sawJ(ge disposal aaea for tapUc tank and leach Imes <br /> n _ 1-gatlon or drainages ditches,waterways and drainage ponding areas <br /> (bl Abut inR screother right-of-vtay arW 1g Location of existt and y(cl Ttn at ionge�fi�t)Irng but i g and int x ; itlea ng woposed drivewa s aro encroachmnts <br /> Id)Tne Scion so P 3e a (h Levees,with rhe Crown shown <br /> , <br /> gPweq <br /> and Its (I WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> ..r r �L <br /> North <br /> E l � <br /> �I�lr r <br /> _a. <br /> 41' E <br /> a._. ,... <br /> � f r <br /> _.. _ <br /> I <br /> ff <br /> r -7�� 7� <br /> 1 <br /> 71 <br /> •: � 1 <br /> _,. •�.-�-'�,t t� ,. .. 3.. rpt _I } _ �\{ <br /> • A _ _ V <br /> -4_ �_�� , <br /> Jk <br /> r <br /> W µr <br /> Applicant cerUfles that the property for which the APPROVAL Is Sought is described as'above and that alt the property are <br /> shown on the above plat plan. existing structure <br /> Date <br /> - �� Applicant's Signatwe <br /> •PLANNING DIV. 1810 E.Hazelton Avenue •PUG WORKS DFPT. 1810 E.Hazelton Ave. LOCAL HEALTH DISTRICT <br /> •Property meets zoning requirements for both l..PitOPOSAL APPROV€D SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> TO- <br /> Use and construction A. EncroacMhent Permit requirad� 1601 E.Hazelton Avenue <br /> Yes I Zone B. Surface drainage estawlshed as <br /> 2.SPECIAL ND�TIONS - v"") I.PROPOSAL APPROVED SUBJECT T0: <br /> A.School district fee C. Fees A.Obtainingsanitation <br /> Permit— <br /> B, Fl+wdway as shown L_ a. ConnecUan Fee_ L� <br /> I;=J B.Obtain welt/pun <br /> C.Flood fringe.is <br /> b• B+y0 <br /> C <br /> in-inp Permit_ X <br /> `- 2 REMARKS .Change noted� <br /> 0.Solae impact a Z.PROPOSAL DENIED Ca <br /> 3.PARCEL MAP N0. J t� 3.REMARKS <br /> 4.REMARKS----�;�� data r-7 - . <br /> date-Jf� t �Q FLOODCONTROL:date_ d q- V.4 <br /> .-. !_ <br /> by <br /> is •L G.4 611 tI <br /> P1Ot Plan Valid Until <br /> 7 <br />