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s t 7�• ' �h^r <br /> ...,..n.r ... .-i.�b.ri�•�...+'•-...,..w r'-J:Rr""•�rM�:wr�..,�yAlMy ri.M'���fr' •rai`sai�� <br /> ,ot Plan Application <br /> -`—- -�----- SAN_JOAQUIN COUNTY DEPARTMENT OF PLANNING.AND BUILDING-INSPECTION A.P.N. <br /> c r 1 <br /> re#� trunk k I P C 64IiL Subd.name <br /> Owner's Name - <br /> I Address g �•-le �l map a <br /> Cit Cor Irumn+- (R <� -c <br /> y Zip � phone U�S`�,�0 33f bl/Iota <br /> -- Census Tr. <br /> > ,�• Applicant's Name. <br /> ontractor er <br /> Setback: r <br /> Address S�' - ---- front T_ <br /> I <br /> left I t] <br /> ` City Zip phone ( 0. <br /> right -? <br /> Precise location of property ��' 2U - ^titrrj ' rear <br /> M Yes No <br /> c Structure address L�of'>L� �'A,.J Z^3 )? sewers p <br /> water System_Q <br /> s; Proposed use of structure(s) � vf/n +�. drainage system_p <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> The lot or parcel involved,shows shape i dimensions (f) Irrigation or drainages ditches,waterways and <br /> „•_ tt4 ay drainage ponding areas <br /> (b) Abutting streets and other fight-of-way and/or easements (g)Location of existing and proposed driveways and encroachments - <br /> - (c)The laallons of all existing building and distances to lot Imes (h)Levees,with the crown shown <br /> (d) The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> Tr--, .1 r <br /> '7111111if -7 <br /> WIPW <br /> Non <br /> I =T.�JJ rpt _ _ C <br /> i <br /> --- -----l-- -- <br /> : <br /> u'• Applicant certifies that the property for which the APPROVAL is sought Is described as above and that alpVtures on the property are <br /> r shown on the abo plop ' <br /> ;a . Date Applicant's Signature <br /> i; <br /> *PLANNING DIV. 1810 E.Hazelton Avenue a PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. a LOCAL HEALTH DISTRICT <br /> F.—perty meets zoning requirements for both I.PROPOSAL APPROVED SUBJECTjP',, ENVIRONMENTAL HEALTH DIVISION <br /> f useand construction A. Encroachment Permit required 1601 E.Haielton Avenue <br /> '? x`11 tJ <br /> Yes ( No p ZoneCIAL CONDITIONS 8. Surface drainage established as shown 1.PROPOSAL APPROVED SUBJECT T0: <br /> �.ry.. 2.SPECIAL s C. Fees A.Obtaining sanitation permit <br /> A,School district fee 7tr 5!4_. a. Connection Fee B.Obtain well/pump permit <br /> B. Floodway as shown — b. Buy-in-fee CD C.Change noted Q <br /> C.Flood fringe Q 2.REMARKS "M 2.PROPOSAL DEN <br /> ^!' <br /> D.Noise impact <br /> li`-z <br /> 3.PARCEL MAP N0. 3T711rR/FLREMARKS '•�(%c�r7 `� daGA,fes.� —C t - FLOOD CONTROL:date r' date by Nom: by 8) e�oc. IHay. rA Ives <br /> t Plot Plan Valid Until / + <br /> r �` <br />