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Plot Plan Applr''ition nj <br /> SAN_JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N. <br /> Owner's Name <br /> Subd.name <br /> jAddress . <br /> asap p <br /> Ci! +JD <br /> ` <br /> city Old/ ., - Zip _ P�rye hl/!a!n — <br /> Applicant's Naffle--C-;rLKeR Census Tr, <br /> e'' <br /> �]Contractor Owner. Setback(: ) <br /> Address. <br /> i front i> <br /> City—��r J - •= Zip `7'e� phone let ) <br /> fag i Precise location of property <br /> Yes No <br /> Structure address sewers O O' :I <br /> water system_CD � <br /> Proposed use of structure(s1 -_ -�JP/�.C(e drainage system_C] � <br /> I DRAW (e)Location of minimum sewage disposal area for septic'tank and leach lines <br /> oaf The lot or parte$involved,showing shape&dimensions,. I . (f) Irrigation or drainsges.dltches water_wa sorb drailiage,pond,ing <br /> . Ib) AbuitlnR-streets grid other riglttrof•wa}f arrrh/or'c'+a3- I - ¢ ng pro ose r veways and idi`roachmenfs •' ' <br /> (c)The locations of all existing building and distances to lot lines (h)Levees,with the crown shown <br /> I (d)T e 1 tion M existing nd proposed septic rd wells fl)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> r <br /> 1 L f ry . <br /> bye <br /> _r..._. <br /> Ll <br /> Qom' irC?Y� <br /> !; <br /> ' I _i -_ti e #> 71 <br /> - I f-1 �-.—€ <br /> 7 _ _I. i + 1 I <br /> j <br /> jL <br /> LT <br /> x% !s rl -_ <br /> i i ! —d I-Li J �J , <br /> 444-L.4 1 I ' J <br /> 1— - - <br /> i <br /> I .t.... <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 abpv plat plans <br /> Date Applicant's Signature <br /> •PLANNING-DIV, 1810 E.Hazelton Avenue •PUBLIC WORKS IJEPT. 1810 E.HazeltbnAve_.. • LOCAL HEALTH DISTRICT <br /> 1:Property meets zoning requirements for both I.PROPOSAL APPROVED SUBJEC�Q ENVIRONMENTAL HEALTH DIVISION <br /> use and constrtrCtion A. Encroachment Permit required+/t` h 1601 E.Hazelton Avenue <br /> II ,Yes �No C7 Zone. �� B. Surface draihage established as shown ED 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit <br /> f A.School district fee a. Connection Fee B•Obtain well/pump permit [� <br /> S. Floodway as shown C] b. Buy-indee �r © C.Change noted <br /> C•Flood fringe C7 2.REMARKS )) l P 2.PROPOSA EN p <br /> D.Noise impact / _ <br /> 3.PARCEL MAP i 3.,REMARKS-" �' FrM <br /> Lilt <br /> - 4.REMJ�,RKS -'/� .:;/,•.,Ir.r.^mac,: dale— <br /> lir i/�lU G L000 CONTROL date da 6 y\ <br /> dad `' by i` by f BIC d:Ms". Il relea <br /> Plat Plan Valid Until `� F <br />