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Plot Plan Application <br /> SAN JOAOUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> Owner's - <br /> s Name UNZi/ Cwrn/\L: e��, �n n ,� A.P.N. ��:J <br /> ` `� _ Subd.name <br /> Address--�C't����.I r �l=7�'l rl a• � `� A - -- <br /> map• <br /> City f1 C n ��Z� zip V t!r vttone '' 7/ bl/lot x <br /> l <br /> Applicant's Name Census Tr.� A /- �LSP`.1 ��,, `�� l�r t � + <br /> t (LjI.Conlractor E:]Owner Setback:�� r <br /> Address.�JU \�(:�! \� front <br /> cily��_)E;ncl �e•-1 e."-C-) . -1` lett LJ <br /> -- — Zip t J' b pttbne <br /> 11 l <br /> right <br /> Precise locationof�roperry ��`A`�, ���•�;tS��—A�fl�s cl �\ 4tir` 1l� I'/1 , I �• rear ��-1' <br /> L(\� V e A f t l-)"{_ Yes No <br /> se-eV.i � � l <br /> SVuctureGaddress /r'/-SQ ,- , �\ .,•v\ �i wterrsystem_(—I d <br /> _ p <br /> Proposed use of structure(s)—_3'�t�• ��' � rl Yr+ + � �) <'• `I r:t, � •(� �'.�J drainage system_� <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a) The lot or parcel involved,showing shape&dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutt inR 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 /> (dl The locations of existing and proposed septic ks an wells (I)WITFL QOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> i � --+- � t Nott <br /> ntj --- - { <br /> o <br /> - r ► rsATIOy EKEAIOS ONLY T <br /> I Si H AU7ND i' O. itir7_ 0 <br /> -;LAW wA�rQ ZEOq/IPE. O)� D yrgEON <br /> Rloolr ��•T, AN OMI,,. <br /> _4 NCt S _t Of STATE <br /> l r <br /> 1. <br /> t - - I I I I i 11 1 <br /> ,1 J <br /> r Q/ <br /> '- <br /> F14, ce, I I <br /> -- _.L_. <br /> rt. ..F..- <br /> 17 <br /> Applicant certifies that the property for which Um APPROVAL is sought is described as above and that all xisling structures on the pro rt are <br /> shown on the aboveplot plan. (\'�J 1 f ( �T'�{t�T�• <br /> Dale _�` /• a 1S Applicant's Signature <br /> •PLANNING DIV, 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> 1.Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT.TQ- ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required] -Q= 1601 E.Hazelton Avenue <br /> Yes O No Zone B. Surface drainage established as shown E] 1.PROPOSAL APPROVED SUBJECT TO: \'� <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit <br /> ' <br /> A.School district fee a. Connection Fea <br /> 1C'J B.Obtain well/pump permit <br /> B. Floodway as shown E] b, Buyi yee �) IL C,Change noted <br /> C.Flood fringe E] 2.REMAR F �i7 2.PROPOSAL DENIED4 <br /> D.Noise impact Q t ` YIll2 ��� <br /> 3.PARCEL MAP NO. 3.REMA KS y- <br /> ,_ 4.REMARKS'�,x,i. jr.- date Ai, <br /> �.�. --1'T'--- date -Q - by N'-1 .N <br /> 4.. <br /> FLOOD CONTROL:date <br /> date`' by I. by ® BIDG. IN 3P. Il tans <br /> ,r Plot Plan Valid Until •� * ��' ti•'F <br />