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Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> ''// <br /> Owner's Name /IRA glenG. .�//Y -d^ /..s"� .� �e���.- Subd.name <br /> Address f 10 l/ynd. map e <br /> city .f7o,4X, /p1 /� .,L ZIP 95�.®S� phpna % O/ blilplx <br /> Applicant's Name 661!1<74 .4 !/G/ 7--er Census Tr. <br /> �]Confrutfe "er Setback: <br /> Address 1160 f D1i Y-t ,A' -- - left <br /> left <br /> City Zip 9phone S/ phone `3y right <br /> Precise location of property is-�a6Y--i7 4f. A&C Y;2 rear <br /> / Yes No <br /> d 'V d/r{ yY.V <br /> sewers-C) Q <br /> qy <br /> Structure address water system_p C <br /> Proposed use o/structure(s) d.JI{ <br /> drainage system_Q Q <br /> DRAW (e)Location of minimum sewage disposal area for septic lank and leach lines <br /> (a)The lot or parcel involved,showing shape&dimensions (f) Irrigation of drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting streets and other righbof-way and.'or easements (g)Location of existing and proposed driveways am encroachments <br /> (c) The locations of all existing building and distances to lot Illes (h)Levees,with the crown shown <br /> (d)The locations of existing antl proposed septic tanks and wells 0)WITH DOTTED LINES,THE PROPOSED STRUCTURE or AADDDD;I\ITT,IIOONS, <br /> ell <br /> - i <br /> h <br /> , <br /> -�.. y.� <br /> _f ---' _, . . o. - TArdmlxa-1 T'-/N ANlzLi �• <br /> -- -- y <br /> - <br /> �_� -- _ — <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 plat plan. <br /> it <br /> Date Applicant's Signature �i�ac79 L. <br /> •PLANNINGDIV. 1810 E.Hazelton Avenue PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> . <br /> Property <br /> ty meets zoning requirements for both .PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required-p 1601 E. Hazelton Avenue <br /> Yes p Na Q Zone B. Surface drainage established as shown(] 1.PROPOSAL APPROVED SUBJECT T0: <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit Q <br /> A.School district fee Q a. Connection Fee p B.Obtain well/pump permit O <br /> B. Floodway as shown Q b. Buy-in-fee O C.Change noted O <br /> C.Flood fringe O 2.REMARKS 2.PROPOSAL DENIED Q <br /> D.Noise Impact . O 3.RFF,�sRKS_-.-/--� <br /> 3.PARCEL MAP NO. dal -js �by YOx a.-Y r 7=.� ' <br /> a.REMARKS date by <br /> FLOW'OONTROL:dale <br /> date by by L ® eL..o was. a Was <br /> Plot Plan Valid Until <br />