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#� COUNTY OF SAN JOAQUIN FRITZ BUCIIMAN <br /> DEPARTMENT OF PUBLIC WORKS Deputy Director <br /> c ' 1 P.O.BOX 1810- 1810 E.HAZELTON AVENUE MIKE SELLING <br /> STOCKTON,CALIFORNIA 95205 Deputy Director <br /> FOH <br /> THOMAS GAU (209)468-3000 FAX(209)468-9324 STEVEN WINKLER <br /> Director www.sjgov.org/pubworks Deputy Director <br /> ROGER JAMES <br /> Business Administrator <br /> Activity#: PS-1202366 <br /> Issue Date: 10/03/2012 <br /> BUILDING PERMIT RE LEASE FORM <br /> PROJECT APPLICANT <br /> APN 06321006 Quad:NE Name BUCHER,LOUIS <br /> Address 12091 E LIVE OAK RD Address 12091 E.LIVE OAK RD. <br /> LODI,CA 95240 City. LODI,CA 95240- <br /> Telephone 209-931-0744 Telephone 209-203-9399 <br /> PROJECT NAME/PA#: <br /> PROJECT DESCRIPTION: DETACHED GAME ROOM <br /> FLOOD HAZARD INFORMATION: <br /> Zone:X COMMUNITY PANEL: 060299-0335F DATE: <br /> This site is not located within a Federal Flood Insurance Rate map Designated Flood Hazard Area. <br /> 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 feet NGVD. <br /> The 100-Year Flood Depth will be approximately 0 foottfeet above natural ground elevation. <br /> �X Finished Floor is EXEMPT from 100-Year Flood Elevation. <br /> IMPROVEMENTPLANS REQUIRED <br /> CALTRANS PERMIT REQUIRED ❑ <br /> RECLAMATION DISTRICT REQUIRED ❑- <br /> ON-SITE DRAINAGE(RESIDENTIAL) REQUIRED El <br /> RESIDENTIAL DRIVEWAY ONLY: <br /> QPaved or Concrete Driveway(s) requiredprior to final occupancy. I acknowledge the Driveway(s)will bepaved as required <br /> by the Encroachment Permit(EP)and inspected by the Department of Public Works prior to the Final Building Inspection. <br /> A TEMPORAR Y GRA VEL DRIVE WA Y APPRA OCH SHALL BE CONSTRUCTED PRIOR TO STARTING BUILDING <br /> CONSTRUCTION. <br /> FX—]I acknowledge that the existing driveway ispaved with Concrete or Asphalt Concrete, therefore an Encroachment Permit <br /> (EP) is not required. �J <br /> ❑Not Applicable. /, ,c�� <br /> APPLICANT SIGNATURE-TITLE: GG/ � Q— DATE: I q <br /> The Department of Public Works hereby authorizes the issuance of the Building Permit as noted above and that all the required fees <br /> and conditio ve been satisfied. IK J <br /> Approved DATE- <br /> 1 <br />