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PPPPP <br /> Plot Plan Application <br /> SAN JOAQUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> w / A.P.N. <br /> Owner's Name — E�/ � G7O lam/ f "' Subd.name <br /> Address / / ' ! S • M 1 LLS � map a <br /> City LCpz1 { C Zip phonebl/lotu <br /> LEC _ �2t� ( __ - `D w / Census Tr. <br /> Applicant's Name w n/ Setback: <br /> 7 c � Contractor Owner <br /> Address / �•-y •/ �l� / L L S .s+ ./ , / front <br /> city a--- 4 ^,-tQ ( i'7 Zip �/� z 7 Z-. phone 7` -(N// left <br /> ! 7 R t/ t A '. I _ right <br /> Precise location of property �f c;u,< x r i�ty U C•DA e D6c rear <br /> Lir- 4-77 �Q 1, T / 33 /Ak o) qB./ Al Yes No <br /> sewers Q <br /> Structure address AT 14WQ ✓lf water system <br /> Proposed use of structure(s)_ 11C `-'� I-✓flE IVGt drainage system—O O <br /> DRAW (e) Location of minimum sewage disposal area for septic tank and leach lines <br /> (a) The lot or parcel invo /ed,showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of-nay.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 (1) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> ?8•}! Pm Paine <br /> /�^\\ <br /> NL prth <br /> .:. : <br /> T_ <br /> 4_7 <br /> _ . <br /> I I <br /> L 1 <br /> _ -- ! ) - <br /> Ae <br /> L <br /> 1 <br /> +- <br /> , ;_ rt - <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all exr ting structures on the-pffp-erty are <br /> shown on the above plot plan. - <br /> Date �� Applicant's Signature <br /> • PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> 1. Property meets,4wing requirements for both 1.PROPOSAL APPROVED SUBJECT TO:- ENVIRONMENTAL HEALTH DIVISION <br /> use and co truct'on A. Encroachment Permit required 0 1601 E. Hazelton Avenue <br /> .Yes o 1:1 Zone B. Surface drainage established as shown 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS ^� 1 C. Fees j ,10 r.& WA-4. Obtaining sanitation permit 0 <br /> A, School district fee a. Connection Fee ` E-] B. Obtain well/pump permit <br /> B, Floodway as shown b. Buy-in-fee C. Change noted <br /> C. Flood fringe O 2. REMARKS - - 2. PROPOSAL DEN ED <br /> D. Noise impact O 3. REMARKS *j' <br /> 3. PARCEL MAP IJO. - � - ri,�---- ; _ <br /> 4. REMARKS icr<=Y!x�� date it ,_ bY � ((�� r1 <br /> date -I ' /"JOT nv C1�LJl <br /> FLOOD CONTRgLll date <br /> date by by 9 BLOG. INSP. 14 18/83 <br /> Plot Plan Valid Until s %' <br />