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qg Plot Plan Application <br />"?y SAN_JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> Owner's Name 7L-.D {'(HT 2,49--14-d Sued.name <br /> Address—,2/7 J-S9 '1✓/ff-'/ maps <br /> city zip phone 33a/•SY9i bl/lota <br /> s A TED �4T2A-tis Census Tr. .. <br /> Applicant's Name <br /> �Contraclar 54 Owner Setbaca: <br /> Address *00. QOX 46,'Z <br /> - - front 3 0 <br /> CitLod/ zip 9Sav/ ph'" <br /> dY9/ left 2- <br /> City <br /> right V <br /> Precise location of poperly OF " rear 31) <br /> /A-L12 &Wl dE i,J Fi¢/ "O/ ALT Iaf= 6T 3 2 Yes No <br /> Structure address 1'G/S'1 � r sawers IQ O <br /> water system_ <br /> Proposed use of stricture(s) drainage system <br /> DRAW (a)Location of minimum sewage disposal area fa septic lanu and leach lines <br /> 4%. (a)The lot or parcel Involved,showing shape A,dimensions (f)Irrigation or drainages ditches,waterways and drainage polling areas <br /> (D) Abutting streets and other rliht-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)Tax locations of existing and proposed septic tanks and wells (N WITH DOTTED LINES,THE PROPOSED STRUCTURE a ADDITION <br /> Pdt <br /> FRI- <br /> --77 <br /> y , <br /> tp <br /> r IbabL All (. <br /> 6419 <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 /> Lai <br /> shown on the above abbovee plot plan. <br />' Date se) Applicant's Signature - <br /> e PLANNING DIV. 1810 E.Hazelton Avenue a PUBLIC WORKS DEPT. 1810 E.Muslim Ave. •LOCAL HEALTH DISTRICT <br /> roZ— potxm'mg requirements la both .PROPO'1— SAL APPROVED SUBJECT T ENVIRONMENTAL HEALTH DIVISION <br /> U's <br /> antl cons tion A. Encroachment Permit(aoulred�O 1601 E.Haaeltm Avenue <br /> Yes o �, zone ill B. Surface drainage established as shown I� 1.PROPOSAL APPROVED SUBJECT T0: <br /> g.SPE AL CONDITIONS C. Fees A.Obtaining sanitation permit Q <br /> A.School district feesem. a. Connection Fee Q B.Obtain wail/pump permit E <br /> B. Floodway as shown Q D. Buy-i a C.Change noted 0 <br /> C.Flood fringe Q g.REMARK 6^r 7.PROPOSAL DENIED Q <br /> D.Noise Impact Q O 4R�1 . 3.REMARKS LI�L <br /> 3.PARCEL MAP NO dale 6 lin ky by <br /> e.REMARK11 _ <br /> FLOOD CONTROL:data d •3 ev Ml s�_�T <br /> date gay ® a�pa.i • ufea ' <br /> Plot Plan Valid,Until <br /> r <br />