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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS STEVEN WINKLER <br />P.O.BOX 1810 -1810 E.HAZELTON AVENUE Deputy Director <br />STOCKTON,CALIFORNIA 95205 MIKE SELLING <br />(209)468-3000 Deputy Director <br />FAX (209)468-9324 THOMAS GAU <br />Chief Deputy DirectorTHOMASR.FLINN <br />Director <br />Activity #: <br />Issue Date: <br />PS-I000370 <br />03/03/2010 <br />BUILDING PERMIT RELEASE FORM <br />PROJECT <br />APN <br />Address <br />05805003 Quad:~ <br />184 E HARNEY LN <br />LODI,CA 95242 <br />209-365-6649 <br />APPLICANT <br />Name <br />Address <br />City <br />Telephone <br />BADY AL,JASBIR ET AL <br />184 E HARNEY LN <br />LODI CA 95242- <br />Telephone <br />PROJECT NAMEIP A #: <br />PROJECT DESCRIPTION:ADDITION TO EXIST.SFR <br />FLOOD HAZARD INFORMATION: <br />Zone:~COMMUNITY PANEL:060299-DATE: <br />D This site is not located within a Federal Flood Insurance Rate map Designated Flood Hazard Area. <br />D This site is located within a Federal Flood insurance Rate map Designated Flood Hazard Area. <br />The 100-Year Flood Elevation will be approximately 0 feetNGVD. <br />The lOO-Year Flood Depth will be approximately 0 foot/feet above natural ground elevation. <br />00 Finished Floor is EXEMPT from 100-Year Flood Elevation. <br />IMPROVEMENT PLANS <br />CAL TRANS PERMIT <br />RECLAMATION DISTRICT <br />ON-SITE DRAINAGE (RESIDENTIAL) <br />REQUIRED 0 <br />REQUIRED 0 <br />REQUIRED D <br />REQUIRED 0 <br />DNot Applicable. <br />APPLICANT SIGNATURE -TITLE:-,-X->--~,-.,-1__--'-~-n<--_-DATEA '3h)/0 <br />RESIDENTIAL DRIVEWAY ONLY: <br />DPaved or Concrete Driveway(s)required prior to final occupancy.I acknowledge the Driveway(s)will be paved as required <br />by the Encroachment Permit (EP)and inspected by the Department of Public Works prior to the Final Building Inspection. <br />A TEMPORARY GRA VEL DRIVEWAY APPRAOCH SHALL BE CONSTRUCTED PRIOR TO STARTING BUILDING <br />CONSTRUCTION..[XlI acknowledge that the existing driveway is paved with Concrete or Asphalt Concrete,therefore an Encroachment Permit <br />(EP)is not required <br />The Department of Public Works hereby authorizes the issuance of the Building Permit as noted above and that all the required fees <br />andCOnd;tiOnS~ <br />AppWVedBY:n----DATE:3/0)/0