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COUNTY OF SAN JOAQUIN <br />DEPARTME T OF PUBLIC WORKS STEVE <br />P.O.BOX 1810 -1810 E.HAZELTO AVENUE <br />STOCKTO ,CALIFORNIA 95205 <br />(209)468-3000 <br />FAX (209)468-9324 <br />WINKLER <br />Deputy Director <br />MIKE SELLI G <br />Deputy Director <br />TIIOMA R.FLI1\ <br />Director <br />TIIOMA GAU <br />Chief Deputy Director <br />Activity #: <br />Issue Date: <br />PS-1002433 <br />11112/2010 <br />BUILDING PERMIT RELEASE FORM <br />Telephone <br />18105027 Quad:SE <br />6258 S SANTA A A A V <br />STOC,CA 95215 <br />209-598-5459 <br />APPLICANT <br />Name <br />Address <br />City <br />Telephone <br />ROMAN DELGADO <br />1819 DEAUVILLE DR. <br />STOCKTON,CA 95210 <br />209-598-5459 <br />PROJECT <br />AP <br />Address <br />PROJECT NAME/PA #: <br />PROJECT DESCRIPTION:SUD 0 TEMP FOUNDATION <br />FLOOD HAZARD INFORMATION: <br />Zone:x...COMMUNITY PANEL:060299-0495F DATE: <br />[R]This site is not located within a Federal Flood Insurance Rate map Designated Flood Hazard Area. <br />D 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 GVD. <br />The 100-Year Flood Depth will be approximately 0 foot/feet above natural ground elevation. <br />[R]Finished Floor is EXEMPT from 100-Year Flood Elevation. <br />IMPROVEME T PLA S <br />CAL TRA S PERMIT <br />RECLAMA TION DISTRlCT <br />o -SITE ORAl AGE (RESIDENTIAL) <br />REQUIRED D <br />REQUIRED D <br />REQUIRED D <br />REQUIRED D <br />o ot Applicable. <br />APPLICANT SIG ATURE -TlTd...E:--J-/+7~(:J...J'VtL!...k.C..L;I}.l----L..../~kt-;~."qL..<tL.••..&,,-~·-,-)DATE:1//;;J 110 <br />U <br />RESIDENTIAL DRIVEWA Y ONLY: <br />[IJPaved or Concrete Drivewayts)required prior to final occupancy.I acknowledge the Driveway(s)will be paved as required <br />by the Encroachment Permit (EP)and inspected by the Department of Public Works prior to the Final Building Inspection. <br />A TEMPORARY GRA VEL DRIVEWAY APPRAOCH SHALL BE CONSTRUCTED PRIOR TO STARTING BUILDING <br />CO 'STRUCTIO .oI acknowledge that the existing driveway is paved with Concrete or Asphalt Concrete,therefore an Encroachment Permit <br />(EP)is not required.~ <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 conditions have been satisfied. <br />APprovedB~~~~~_DA-TE:ll-12~2dU