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COUNTY OF SAN JOAQUiN <br /> DEPARTMENT OF PUBLIC:WORKS STEVEN WINKLER <br /> P.O.BOX 1810 <br /> - 1810 E. HAZELTON AVENUE Deputy Director <br /> STOCKTON, CALIFORNIA 95205 MANUEL SOLORiO <br /> (209)468-3000 Deputy Director <br /> FAX(209)468-9324 THOMAS GAU <br /> THOMAS R.FLINN Chief Deputy Director <br /> Director <br /> BUILDING PERMIT APPLICATION CLEARANCE"FORM <br /> PS-0900136 <br /> APN 086-430-23 QUAD: NE <br /> SITE ADDRESS: 870ON CANEPA RDSTOC,CA <br /> SETBACK INFORMATION: <br /> Is the building site near a levee or watercourse:N <br /> (Project must be setback 10 feet from the levee toe or 25 feet from the top of the watercourse bank) <br /> Total Volume of Retention Pond in Cubic Feet: 0 <br /> FLOOD/DRAINAGE INFORMATION: <br /> Flood Zone: C 100-Year Flood Information,Elev 0 or Depth 0 <br /> X❑ Finished Floor exempt from 100-Year Flood information <br /> ❑ Drainage shall be retained on-site (Residential) <br /> Totai Structure in Square Feet-.Jstruct areal <br /> PROJECT TYPE CERTIFICATES REQUIRED REMARKS <br /> Residential 1. Existing Elevation,cert. (Except AO <br /> Zones) [rem res] <br /> 2. Elevation Certification. <br /> FxE Commercial 1. Existing Elevation, Cert.(Except AO <br /> Zones) [rem comm] <br /> 2. Elevation Certification or Flood <br /> Proofing Certification. <br /> Ag. Bldg.,Private Garage Wet Proofing:N <br /> and Storage Bldg. [rem_ag]. <br /> kL,51DENTIAL DRIVEWAYONLY: <br /> Paved or Concrete Driveway(s)required prior to final occupancy. 1 acknowledge the Driveway(s)will be paved as <br /> required by the Encroachment Permit(FI')and inspected by the Department of Public.Works prior to the Final Building Inspection. <br /> A TEMPORARY GRAVEL DRIVEWAY APPROACH SHALL BF CONSTRUCTED PRIOR TO STARTING BUILDING CONSTRUCTION. <br /> ElI acknowledge that the existing driveway is paved with Concrete or Asphalt Concrete,therefore an Encroachment Permit <br /> (EP)is not required. <br /> Not Applicable _ <br /> APPLICANT SIGNATURE-TITLE.: DATE: <br /> REVIEWED BY: DATE: v <br /> This form determines flood elevation zones and allows plan checking only. 1 acknowledge that all Public Works Conditions of Approval for the <br /> project(PS-0900136)shall be satisfied. The conditions of approval may take time to process and delay release of Public Works approval,therefore <br /> initiate processing of the Conditions as soon as possible. <br /> APPLICANT SIGNATURE-TITLE: ATE: G <br />