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P-lot F.-$,%An Application or')I <br /> SAN JOAQUIN COU,NTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> Owner's Name <br /> - 4 <br /> T7L1 YES NO <br /> Address _ <br /> Public sewers— C3 <br /> City Zip Phone Public water system <br /> system <br /> F <br /> Applicant's Name Drainage system <br /> 0 Contractor 0 Owner OFFICE USE ONLY <br /> Address A,P.N I—lep-c'I <br /> CitySubd. name <br /> .4 Zip_ Phone map # <br /> Proposed use of structure(s) bl/lot # <br /> Census Tr <br /> OFFICE USE ONLY Setback: <br /> Precise location of property S 4^(4-1 o liV C_: ti I L;7 <br /> L-t/ front .. <br /> yc I.JJt OK-,$ r P-4 N f -T-W i,x oy 7-&— left <br /> Structure address <br /> C'0 0 L F f right <br /> rear <br /> DRAW <br /> (a) The lot or parcel involved, showing shape & dimensions (e) Location of minimum sewage disposal area for septic tank and leach lines <br /> (b) Abutting streets and other right-of-way and/or easements (f) Irrigation or drainage ditches, waterways and drainage ponding areas <br /> (c) The locations of all existing building and distances to lot lines (g) Location of existing and proposed driveways and encroachments <br /> (d) The locations of all existing and proposed septic tanks and wells within 150' shall <br /> be shown (h)tevees, with the crown shown <br /> (i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> BALL POINT PEN ONLY <br /> ,SDA <br /> Z <br /> 4�- <br /> C)O <br /> ZJ00 CA e— t?W e- <br /> L D10 <br /> C3 <br /> 2-f <br /> NOTE: Fire apparatus access roads shall be provided and maintained In accordance with the provision of Fire Code section 10.207. Check with Local Fire District <br /> for specific details. <br /> Applicant cerlifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are shown on the above plot plan <br /> Date Applicant's Signature <br /> • PLANNING DIV. 1810 E. Hazelton Avenue I --PUBLIC WORKS DEPT. 1810 E. Hazelfitin,Ave. ---ENVIRONMENTAL HEALTH DIVISION <br /> Property meets zoning requirements for i. PROPOSAL APPROVED SUBJECf�T 1601 E. Hellon Avenue <br /> both use and construction L_(( A. Encroachment Permit require�d4a, `, Hazelton0 1. PROPOSAL APPROVED SUBJECT TO: <br /> Yes EK No 0 Zone--Af—— B. Remarks: &_- <br /> "q-S L <br /> 2. SPECIAL CONDITIONS tiruff 64T - A. Obtaining sanitation permit <br /> A. School district fee t__1 'Ei( B. Obtain well/pump permit <br /> B. Floodway as shown ❑ C. Change noted 0 <br /> C Flood fringe 2. PROPOSAL DENIED 0 <br /> D. Noise impact ❑ 2. FLOOD-CONTROL CONDITIONS:/d 0 P 3 REMARKS <br /> 3. PARCEL MAP NO IM 6 !Ej —q <br /> (— K� - <br /> 4REMARKS 1,64 f ee I)Vr Q Date — <br /> F 12 A� S,#0C.'ev <br /> 2 aji jV f'l <br /> Dalej�q —by Dal b <br /> PlOt Plan Valid until 11) <br />