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o COUNTY OF SAN JOAQUIN THOMAS R.FLINN <br /> iso G <br /> tt � '1•�- DEPUTY DIRECTOR <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810—1610 E.HAZELTON AVENUE MANUEL LOPEZ <br /> STOCKTON.CALIFORNIA 95201 DEPUTY DIRECTOR <br /> r?.,• �P (209)468.3000 STEVEN WINKLER <br /> RORa FAX(209)4682999 DEPUTY DIRECTOR <br /> HENRY M.HIRATA <br /> DIRECTOR BUILDING PERMIT APPLICATION CLEARANCE FORM <br /> A.P.N. <br /> SITE ADDRESS `� `� % / < <,u��. �,l Gly a v��� • ��� <br /> SETBACK INFORMATION: 1/1-51 le <br /> IS THE BUILDING SITE NEAR A LEVEE OR WATERCOURSE? YES NO <br /> (PROJECT MUST BE SETBACK 10 FEET FROM THE LEVEE TOE OR <br /> 25 FEET FROM THE TOP OF THE WATERCOURSE BANK) <br /> FLOOD/DRAINAGE INFORMATION: <br /> FLOOD ZONE 3 100-YEAR FLOOD INFORMATION DEPTH (AO ZONES) <br /> FINISHED FLOOR EXEMPT FROM 100-YEAR FLOOD INFORMATION AYES NO <br /> DRAINAGE SHALL BE RETAINED ON-SITE YES 'ANO (RESIDENTIAL) <br /> PROJECT TYPE CERTIFICATES REQUIRED REMARKS <br /> 1. EXISTING ELEVATION CAN'T <br /> RESIDENTIAL (EXCEPT AO ZONES) FLOOD PROOF <br /> 2. ELEVATION/FLOOD PROOFING <br /> 1. EXISTING ELEVATION <br /> COMMERCIAL (EXCEPT AO ZONES) <br /> 2. ELEVATION/FLOOD PROOFING <br /> ENCLOSED AREA STORAGE ITEMS <br /> (PARKING, STORAGE) NONE REQUIRED MUST BE FLOOD <br /> RESISTANT <br /> REVIEWED BY: DATE: ��ll <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 OF PUBLIC WORKS APPROVAL,THEREFORE INITIATE <br /> PROCESSING��� <br /> OF THE CONDITIONS AS SOON AS POSSIBLE. <br /> SIGNATURE: "�'`- DATE: C>" qCopy:Applicant �V VJ�1 S U LA s trk <br /> Filc PS FORM(0.7/98) <br />