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Plot Flan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N.. <br /> Owner's Name �V Sdi� Subd.name <br /> Address tmap r4 <br /> a <br /> City Zip phone bl/lot <br /> i # <br /> - - a f Census Tr. <br /> Applicant's Name f` �" � 1) • f <br /> Contract 0 Owner Setback: <br /> Address <br /> front <br /> left <br /> City Zip phone <br /> - - r right <br /> Precise location of property f ' rf� ^ rear <br /> ��cJ. _P'•'•`{1"w�! .�ldr Mr'I �Uc.�� t. Yes No <br /> f sewers Ez <br /> Structure address �) �' water system Cn E <br /> Proposed use of structufe(s) c 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 /> 8a Pater Pm Coity i <br /> - - - -- f <br /> I J <br /> I I <br /> —7 TV) <br /> I <br /> I - <br /> I I <br /> t- 7too' f-At)AA <br /> - - , - — - r— - <br /> i r <br /> t+_ <br /> I <br /> AA <br /> 7.7 <br /> u Aa <br /> Y <br /> r' <br /> f <br /> T <br /> i <br /> a <br /> I <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 Applicant's Signature <br /> . PLANNING DIV. 1810 E. Hazelton Avenue . PUBLIC WORKS DEPT. 1811] E. Hazelton Ave. a LOCAL HEALTH DISTRICT <br /> I. Property meets zoning requirements for both I. PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required F-1 1601 E. Hazelton Avenue <br /> .Yes n No 0 Zone B. Surface drainage established as shown I. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit <br /> A. School district fee 4, a. Connection Fee B. Obtain well/pump permit <br /> B, Floodway as shown [] b. Buy-in-fee 17�j C. Change noted <br /> C. Flood fringe L� 2, REMARKS 2, PROPOSAL DENIED <br /> D. Noise impact 17 <br /> 3. PARCEL MAP NO. 3G:3 . REMARKS <br /> date by <br /> C REMARKS <br /> FLOOD CONTROL: date date by <br /> date by by �D BLDG. INSP. 14 (6/63 <br /> Plot Plan Valid Until <br />