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Plot Plan Application <br /> SAN JOAGUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N. <br /> Owner's Name Sul name <br /> Address map# <br /> City Zip phone bl/lot# <br /> Census Tr. <br /> Applicant's Name <br /> I Contractor Owner Setback: yyfl <br /> Address. front 7 <br /> left <br /> City Zip phone right 3 <br /> Precise location of property rear <br /> Yes No <br /> � - f - S� Q O <br /> Structure address F' 1 sewers-y 1: .-•`�Y« :• r water system—Q Q <br /> Proposed use of structure(s) drainage system <br /> DRAW (e) Location of minimum sewage disposal area for septic tank.and leach lines <br /> (a) The lot or parcel involved,showing shape &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 /> I _ <br /> North <br /> - <br /> .� I I I � -I • l ' <br /> I I I I I <br /> i <br /> 111I F IL <br /> J_ <br /> i <br /> _ I <br /> - - oa <br /> -L. Jw_OH <br /> � l <br /> �. <br /> IT- <br /> 1 w <br /> I T <br /> I <br /> CCOaW <br /> : z•,�r- CJ<tJ W U <br /> r — <br /> cl- <br /> cc <br /> --• <br /> i t - G~•V-C <br /> • yl <br /> Uj <br /> t 10 <br /> I—�— <br /> _ - <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> shown on the above plot plan. <br /> Date /— d / Applicant's Signaturx'' ' iiic c✓ <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 1.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction f A. Encroachment Permit required Q 1601 E. Hazelton Avenue <br /> Yes No Q Zone —CA B. Surface drainage established as shown Q 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPEL CONDITIONS L C. Fees A. Obtaining sanitation permit Q <br /> A, School district fee a. Connection Fee Q B. Obtain well/pump permit Q <br /> B. Floodway as shown Q b. by <br /> Buy-in f C. Change noted Q <br /> C. Flood fringe Q 2. REMA <br /> D. Noise impact ig �1"N J date 3. REMARKS <br /> - 2. PROPOSAL DE�lIED Q <br /> Q J <br /> 3. PARCEL MAP .NO. 1'� <br /> _ <br /> 4. R;MARKS `r— <br /> FLOOD CONTROL: date 4OL> datil 'ti Ul <br /> date_ by _ by ��"( \ ® BLDG. IN3P, 14 (8/83 <br /> Plot Plan Valid Until / S� T6 (QU tC <br /> r: � 'iZ7 �ifll• � •— hIEL)D <br /> I>e, <br />