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Piot Plan.,.AA� ion <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND.BUILDING INSPECTION_ f <br /> _ A.P.N. <br /> Owner's Name Subd,name <br /> Address !' � tty map rr <br /> City ► `r Zip t�.�� ,y phone �'4'� .1 �' b!/lot# <br /> y t , <br /> Census Tr. <br /> Applicant's Name l i <br /> Contractor Owner Setback: <br /> front 3� <br /> Address <br /> left f d <br /> a <br /> City Zip phone3 <br /> -- right _r <br /> Precise location of property rear <br /> _ Yes No <br /> sewers p p <br /> Structure address fs water system <br /> Proposed use of structure(s) i � ' 1 h�"' i:,( cm .'gzsz � __„�-�1�(�rr ' 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), Abuttipg 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 /> (d) The locations of existing and proposed septic tanks and wells (i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> �'- <br /> { <br /> _ I f a € t 14— _ ... <br /> I <br /> t E _ . <br /> T r � <br /> 1 , <br /> 1 <br /> 1 i <br /> , <br /> R ! I <br /> 41 1 <br /> I _.1- <br /> , <br /> 1 1 <br /> I I i <br /> J I <br /> j All, <br /> II , <br /> - - I i <br /> +�Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing squc ures bn thb property are <br /> r J-shmv" .:n, th o.3.n..n- <br /> Date ^! A I r���p%f - >�-•f-j'_ �-- - - - <br /> f f <br /> ppi icant's Signature <br /> • PLANNING DIV.' "1810 E. Haze Ron Avenue°. • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> 1: Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT TV ENVIRONMENTAL HEALTH DIVISION <br /> € use and construction ` -• A. Encroachment Permit required; � 1601 E. Hazelton Avenue <br /> Yes 0,-No = Zone " B. Surface drainage established as shown [� 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2, SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit <br /> A. School district fee''.r' '` 'E [w �� a, Connection Fee CJ ,— B.-Obtain-well/pump permit <br /> B. Floodway as shown [] b. Buy-in-fee Q : C. Change noted ED <br /> C. Flood fringe Q 2. REMARKS J C_1. 2, PROPOSAL DENIED <br /> � . <br /> D.-Noise impact © � �- � '�� i — — - - <br /> 3. PARCEL MAP NO ' 3. REMARKS <br /> r .� date r �' , <br /> by <br /> "�� }n <br /> 4. REMARKS', '' r'� { - -- , <br /> }' --}r�',,,5 f lk <br /> FLOOD CONTROL: date9'dat2 \. rt:��r.by, <br /> ... <br /> date <br /> by, '% - ' - by 1- !�� r �''®'�eL'but'Ik p.s.ra,�fa/Ba <br /> Plot�Plazl Valid Untilrf <br />