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Plot Plan Application <br /> SAN JOAQUIN COUNt DEPAHTMEN't OP PLANNING AND_BUILDINt(INSPECTION <br /> A;P. <br /> (Tuner's Name -�� '+ " - t ' . t j Subttft�me " <br /> Address +fr1 t fl'rt?Sf �G �� .c, .• miyi7 :. <br /> City r,{C 1+^�y�it} - _ Zip phone <br /> Applicant's 14 me J <br /> Setback:: <br /> m Contractor Owner, <br /> _7 y f. � ✓fr ffbnt � - <br /> Address _ Ir.t.ti left ( t' <br /> a <br /> City__ Zip phone f rflil <br /> ' <br /> Precise location of property <br /> Yes No <br /> ( .__ - <br /> - - G elders <br /> -» <br /> Structure address � iz-� f C t Yiiitet sg3t�m- (4] 4n. r "- <br /> ll <br /> drain 3Crge system_0 r' <br /> Proposed use of structure(s) <br /> DRAti (e) Location of minimum serfage dispOsll NMI for tiepitc'tJ60.aha leach lines :I <br /> (a) The lot or parcel involved, showing'shape &dimensions (f) Irrigation or drainages ditches,Wttirways and prainage''ponding areas <br /> (b) ,,outtinR streets and other right-of-way and/or easements (g) Location of existing and proposed;d(Neways and.androichments } <br /> (c) The locations of all existing building and distances to lot lines (h) Levees, with thelcrown 06WA <br /> (d) The locations of existing and ptoposed septic t&90 and wells (1) WITH DOTTED LINES, OI�I'St' <br /> THE PRD STR6CTURE or ADDITION <br /> LLL <br /> _ <br /> 7 _ <br /> i <br /> i4, <br /> v J fir' <br /> F <br /> i <br /> r <br /> j y <br /> y 11 <br /> - <br /> 2d" L <br /> `� I 'j I ,�t'•k �try�, I 1 a`,era <br /> 1 <br /> 1 , <br /> a - <br /> ... T ,I,,..+...- <br /> y` I p 11 <br /> u <br /> t _4 <br /> L i�l�� 1-t"� I '•-•_7 I -� 1�� ..�.,� .al� ` � }�-•--�.-1- h. <br /> }- <br /> -!-4-4- <br /> 4, <br /> ._r-�--� I .f}� �;'t,'� � +—.i-- �~-t-- I 1 ei.��•i-1 �c7FtY4r+•�,a.de; 4.� _ - _ �,1r.rfi <br /> - <br /> 7 -1- <br /> - <br /> 17 <br /> L _r _..r_ �� -_ - E ''�"~ t"' �r ' '. . �,� .a.�� ` ,...I •. Ate". <br /> t r--- <br /> } }-r- y� <br /> �. ). <br /> i' - <br /> i - _.. __. i <br /> ^I <br /> _ _a� - <br /> i -�..j...,.-_ _ , _i.t---4-�-+-i'��-�- �- .1 ;_^. �, d r• _ _ �., .-_ sl <br /> I , <br /> Applicant certifies that the pfoperty for which the APPROVAL is sought It described as above and that all existing structures on the property are t <br /> V shown on the above plot plan. <br /> AP . <br /> . . <br /> fiats 'rr�• C_�'( �`",rte^ (..1 . Applicant's Signature_...r <br /> . PLANNING DIV. 1610 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1310 E. Kazelton Ave • L SCC. HEALTH DISTRICT <br /> 1 Property rneets zoning requirements for both 1.PROPOSAL APPROVED SUI3JEC TO,�„ ENVOONN1�NTAL HEALTH DIVISION <br /> use and?nstruction A. Encroachment Permit required)_} [-] 1601 E� Hazelton Avenue <br /> Yes ;, No Cj Zone 13. Surface drainage established as shown [_] 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A'Obtaining sanitation permit Lj <br /> A. School dlstrictfee [� a. Connection Fee - 0 8, Obtalnwell/pump permit C_I <br /> S. Floodway as shown b. buy imfee C ChAnge noted ' <br /> C. Flood fringe... _ ., (^l 2. REMARKS� ^ .._ 4: FRGPt7$AL 600 <br /> D. Noise Impact — _ ��,-. �' ' 3. REMARKS < ; <br /> 3 PARCEL MAP NO.v date by <br /> 4. REMARKS-1—.1f R�^j:� �.} <br /> r v date 1,`. >" by <br /> L0,4 FLOOD CONTROL: da ""� �,� <br /> ., �. 0 SLOG. INSP. 14 teles <br /> n.`by by <br /> ill -c Plan Valid Until <br />