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APPLICANT: 1 l <br />MAILING ADDRESS: <br />CONTRACTOR NAI•! <br />CONTRACTOR ADD] <br />SAN JOAQUIN RIVER CLUB, INC. <br />30000 (Casson Road Tracy, CA 95304 <br />Phone (209) 835-1969 • Email s%rcinc@gmaii.com <br />BUILDING PERMIT APPLICATION <br />lication fee is non-refundable. Description (include <br />rials, size and use): <br />COUNTY PERMIT IS REQUIRED? S/ NO (Member's Initials) <br />CLUB AND COUNTY PERMITS EXPIRES 6 MONTHS FROM APPROVAL DATE <br />SAN JOAQUIN RIVER CLUB, INC. WILL NOT BE RESPONSIBLE FOR SITE IMPROVEMENTS <br />a Notice is hereby given that the San Joaquin River Club, Inc. a non-profit corporation of the State of California, is <br />the owner of certain properties as recorded in the official book of records of the San Joaquin County. <br />The San Joaquin River Club, Inc. will not be responsible for construction of, and/or addition to, and/or alteration <br />of said building, or for material or labor or professional services to be used thereon. The member/applicant <br />assumes all responsibility. <br />Building permits may be required frons San Joaquin County, '1810 E. Hazelton St. Stockton, CA. Contact the <br />County for a complete list of improvements that require permits. <br />Copy of initial County site permit must be returned to the SJRC prior to construction. Permit must be posted on <br />site and a copy of the final County site permit must be returned to the SDRC for retention in the site file. <br />r Refer to the SJRC Building Regulations for additional information. <br />F' <br />Application Fee: $30.00 for original or renewal permit. Penalty Fee: $125.00 if project was begun prior to permit <br />approval or continued after permit expired. Amount Paid: C " Date: �l / Z Receipt #: 3 5� <br />1 agree to comply with the Building Regulations of the San Joaquin River Club, Inc. and the County of San Joaquin, if applicable. <br />I agree I will in no way hold the SDRC responsible for any property damage or physical injury related to this work. I further <br />agree to maintain all improvements and my home site in GOOD CONDITION, and within the site boundaries. <br />APPLICATION SIGNATURE:. ! `` , �1 PHONE #: { �� <br />C <br />q <br />%i .� r A/; /, G rr1 oma.. f <br />CONTRACTOR SIGNATURE: i /�/! !'��%✓; PHONE #: <br />G <br />BUILDING COMMITTEE APPROVAL , r BOARD APPROVAL <br />Marne: 2 A_ Date: I -A7 f� <br />APPROVED - DESIGN ON <br />Name: L_!r'% r > > SUBJECT TO CO ry <br />/ -/L �/ Date: / .�:� �i AND BUJ U T <br />� SP I JOA RIV C. <br />Name: �,E. �,� Date: l' <br />°� BY <br />Board Approved 9/18/2021 DATE O <br />