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Plot Plan Application <br /> SAN JOAOUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> Owner's Name_-rC7i�0!tJ t'f sl✓a aa/ / /i r'.�i/ _ Subd.name <br /> Address e7� ,� � /3 /L� /--1]G map it <br /> City-- I%H.�ld' Zip phoneZ W11 <br /> bl/lot 4 <br /> Census Tr. <br /> Applicant's Name Setback: <br /> L]Contractor M Owner <br /> Address front 20 . <br /> _ <br /> City Zip phonleft /0 <br /> - <br /> _._ _ right 6) <br /> r <br /> Precise location of property rear <br /> Yes No _ <br /> sewers c-3 L-1i <br /> Structure address water system—-] Q <br /> Proposed use of structure(s) .S'�, — drainage system..U <br /> DRAW (e1 Location of minimum sewage disposal area for septic tank and leach fines _ <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 /> (d1 The locations of existing and proposed septic tanks and wells (i)WITH DOTTED LINES THE PROPOSED STRUCTURE or ADDITION <br /> FF <br /> -4- ] Nor[h <br /> t <br /> T- <br /> .2— _ _ <br /> --_�_ -. -_ <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and tha all - mg structures �re <br /> shown on the aboveplotplanj.%�J' `- ' <br /> Date Y r/ a/ Applicant's Signature y <br /> •PLANNING Div. 1810 E.Hazetton Avenue •PUBLIC WORKS DEPT. 1810 E,Hazelton Ave. . LOCAL HEALTH DISTRIC <br /> T1-- <br /> F PRoperty meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVI51 N <br /> Use and cons �.] A. Encroachment PermitrequiredFft,57� j 1601 E.Hazelton Avenue <br /> Yes No [] Zon B. Surface drainage established as shown ED 1,PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit <br /> A.School district fee ) a. Connection Fee (7 B.Obtain well/pump permit 0 <br /> B, Floodway as shown [] b. Buy -fee C.Change noted EDC•Flood fringe 2.R RKS 2.PROPOSAL DENIED <br /> D.Noise impact 3.REMARKS <br /> 3.PARCEL MAP NO. <br /> date <br /> A.RE S _ - <br /> date by LC � a�.. <br /> FLOW CONTROL: date <br /> dates by ® BLpG, •I�, I4 (6/69 s' <br /> Plot Plan Valid Until <br />