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- a <br /> k. 1 icatio'i <br /> SAIL_JOAAUiN COUNTY DEPANhCMENT OF PLANNtNB ANO 6UiLWN61NSPECTiQN <br /> Owner's Name Al.,'S A.P.N. <br /> � <br /> " <br /> �•' <br /> Address <br /> ��6 map a_.�..�r <br /> City zip 9 S- �/ f tmorme 9'yG - bt/l t a <br /> Applicant's Name /`/� C ✓Y �),� Census Tr. <br /> O Contractorra ..w. Setback: <br /> Address, front <br /> City Zip phone < lett" <br /> — right <br /> Precise location of property tem <br /> Yes "a <br /> Structure address 1 eQy k /-, e'a C14,- sewers d t[�). <br /> WSW system._Q 0. <br /> Proposed use of structure(s) drainage system=[� ,[ <br /> DRAY: (e)Location of minimum sewage disposal area for septic tank and leach tines <br /> (a)The lot or parcel involved,showing shape&dimensions (f)irrigation or drainages ditches,waterways and drainage pending areas <br /> (b) -outt Ing 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, 1h)Levees,with the crown shown <br /> (d)The locations of existing and proposed septi tanks and welts (i)WITH DOTTED LINES,THE,PROPOSED ST UCTURE or ADDITION <br /> — -- -- -- <br /> - _i _ . <br /> - �, - <br /> I�1 ... i t �_ -� <br /> } <br /> t <br /> 7 { 4 n <br /> - <br /> i <br /> _gym i <br /> AT e_ f } _ <br /> F a <br /> � + �i a "~ <br /> jA <br /> t <br /> � T � <br /> }-� j- <br /> -1 44- <br /> r <br /> + 4 <br /> � I 1 <br /> J <br /> } .. i T _L t 1 ,.s - <br /> f <br /> - <br /> Applicant eettHka that the property for which the APPROVAL is sought is described as above and that all existi4 structures on the property are <br /> shown on the above plot plan. <br /> Dem <br /> Applicant's Signature <br /> •PLANNING DIV. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT, 1810 E.HazeHan Ave. •LOCAL HEALTH DISTRICT <br /> Property meets zoning requirements for both PRO S L APPROVED SUBJECT,TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required C � 1601 E.Hazelton Avenue <br /> Yes o No p zone - S.Surface drainage established as shown M 1.PROM <br /> AL APPROVED SUBJECT TO:2.SPECIAL CONDITIONS C. Fess A,Obtaining sanitation permit <br /> A.School district fee p a.Connection Fee Cj B.Obtain weil/pump permit <br /> Q <br /> B. Floodway as shown 0 b. Buy-in-fee 0 C.Charge noted 0 <br /> C.0.Nooisee Impact 2'REMARKS 2.PROPOSAL DENIED C :N <br /> 3.PARCEL.MAP NO.' � 3,R RKS_� T <br /> 4.REMARKS date by r:''.+a� r_ r. �i .•.-t <br /> FLOOD CONTROL:data <br /> Gate x- /r�' .r ;p by"-1 _:..4 �'t• y,�' <br /> date by Is el DO,IN60, 14 turas <br /> Plot Plan Valid Until 'T— <br /> �� <br /> \�% J <br /> ` <br />