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p... <br /> '° c -COUNTY OF SAN JOAQu1N <br /> THOMAS R. FUNN <br /> DEPUTY DIRECTOR <br /> DEPARTMENT OF PUBLIC"WORKS MANUEL LOPEZ <br /> P.O.BOX 1810-IB10 E.HAZELTON AVENUE DEPUTY DIRECTOR <br /> •'.; _ • STOCKTON.CALIFORNIA 95201 <br /> LER <br /> 12091468-3000 STEVEN WINK <br /> CR' aP FAX(2091 466.2999 DEPUTY DIRECTOR <br /> ZIFO� <br /> HENRY M. HIRATA <br /> DIRECTOR BUILDING PERMIT APPLICATION CLEARANCE FORM <br /> A.P.N. <br /> tel/ - /� - 2- <br /> SITE ADDRESS a 7 S G <br /> SETBACK INFORMATION: <br /> IS THE BUILDING SITE NEAR A LEVEE OR WATERCOURSE? TOE OR NO <br /> (PROJECT MUST BE SETBACK 10 FEET FROM THE LEVEE <br /> 25 FEET FROM THE TOP OF THE WATERCOURSE BANK) <br /> FLOOD /DRAINAGE INFORMATION: G-7 <br /> FLOOD ZONE /9 / 100-YEAR FLOOD INFORMATION -DEPT444AO ZONES) <br /> FINISHED FLOOR EXEMPT FROM I00-YEAR FLOOD INFORMATION YES <br /> ✓NO <br /> DRAINAGE SHALL BE RETAINED ON-SITE YES NO (RESIDENTIAL) <br /> (PARCEL MAP REQUIREMENT) <br /> I PROJECT TYPE CERTIFICATES REQUIRED REMARKS <br /> I <br />! CAN'T <br /> 1. EXISTING ELEVATION <br /> RESIDENTIAL {EXCEPT AO ZONES) FLOOD PROOF <br /> 2. ELEVATION/FLOOD PROOFING <br /> I. EXISTING ELEVATION <br /> COMMERCIAL (EXCEPT AO ZONES) <br /> 2. ELEVATION/FLOOD PROOFING <br /> ENCLOSED AREA STORAGE ITEMS <br /> NONE REQUIRED MUST BE FLOOD <br /> (PARKING, STORAGE) RESISTANT <br /> REVIEWED <br /> BY: DATE: C- - <br /> THIS FORM DETERMINES FLOOD ELEVATION ZONES AND ALLOWS PLAN CHECKING ONLY. <br /> I ACKNOWLEDGE THAT ALL PUBLIC WORKS CONDITIONS OF APPROVAL FOR THE PROJECT <br /> SHALL BE SATISFIED. SOME CONDITIONS OF APPROVAL MAY TAKE TIME <br /> TO PROCESS AND DELAY RELEASE F PUBLIC WORKS APPROVAL, THEREFORE INITIATE <br /> PROCESSING OF T DITTO f N AS POSSIBLE. <br /> G � <br /> SIGNATURE: DATE: <br /> I( �t r <br /> Copy :Applicant rS FORM(07/98) <br /> File 9c2;? 36y 1 <br />