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f I - <br /> i - <br /> Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> -- -- -- p - - A.P.N. - <br /> Owner's Name M R 9• Mk . (,-a0 RG E E. A L V ESS Subd.name . <br /> Address 9S1 U PE L T/ E A IR OA Del- <br /> p. / a 7-" <br /> City AC,4 n1P0 C4, Zip 9-5--=0 phone 3.39-86/7 bi/lot. <br /> G F1�R G F ALV E s Census Tr.Qed".Q <br /> Applicant's Name - <br /> Q ContractorOwner Setback: <br /> 9S.o ,E AE r—� ROOD front - <br /> Address <br /> -.-City- <br /> (14. <br /> Zip 9,f-2-2 0 <br /> -2I0 phoe 33 <br /> 6 66/ - left <br /> - -- right <br /> /65-0= EAST o F &UFL LA ,QOA D o/✓ t <br /> Precise location orty rear <br /> S/D F E E R Yes No <br /> dprpe <br /> 1-r At 950 E �E�T/E.e OAD sewers Q <br /> Structure address � water system <br /> Aed <br /> pposuse d structure(:) s Si N L C E Fin ML A / <br /> Y l 110ES 1yF ,f-•- drainage system_Q <br /> DRAWlel Location of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot or parcel i(tvol h mens ions (f) Irrigation or drainages ditches,waterways and drainage ponding areas - <br /> (bl Abutting streets and other rightof-wry,and/or easements (g)Location of existing and proposed driveways and encroachments <br /> (e)The locations d all existing building and distances to lot lines (h)Levees,with the crown shown - <br /> Id)The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION - <br /> t 14 111-L <br /> — ' <br /> --j <br /> - _ -- - - <br /> _ w <br /> -i <br /> " L <br /> IF <br /> T_ ----W - .- <br /> r-� <br /> Apel tHnDn is s1313MI-01113 311 3-1 pffwrall M&TIng s rty a -_ <br /> shown onTthe above plot n. <br /> Date ✓�N• Y z997 Applicant's Signature <br /> .PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT _ <br /> .Aopeny Bets zoning requirements for both •PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction // A. Encroachment Permit required Q 1601 E.Hazelton Avenue <br /> Yes CZ' No Q Zone r-P Q V B. Surface drainage established as shown Q 1:PROPOSAL APPROVED SUBJECT TO: _ <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit (� <br /> A.School district fee fir Q- a. Connection Fee Q B.Obtain well/pump permit <br /> B. Floodway as shown Q b. Buy-In-fee Q C.Change noted Q <br /> C. Flood(ringil IQ 2.REMARKS 2.PROPOSALNIED Q <br /> D,Noise impact Q 3.REMARKS r <br /> 3.PARCEL MAP NO. date by <br /> 1.REMARKS data -(S- 7 by <br /> FLOOD CONTROL: date <br /> date M49 <br /> by •e�o��w•v. .r•i•a <br /> Plot Plan Vali ntil <br /> 0 <br />