Laserfiche WebLink
�1UsX�er Assessor's Parcel No. <br /> Applicant's Namep ' <br /> APPLICATIONAuthorized Agent book_a <br /> � Contractor , <br /> for Qpage <br /> APPROVAL Address f ,r .. <br /> �� Cr phone — parcel <br /> for City <br /> � to' — 5ubd. <br /> C NSTRUCTION owner's Name <br /> in Address unit# <br /> , <br /> San Joaquin County City phone block# <br /> �j (� 07 lot <br /> Precis11 <br /> a location of pro erty p �� ' Yes No <br /> ' O I'fJ. J4 7. D sewers 0 <br /> water system E2 C <br /> Structure address D!'r drainage system—D L <br /> j J6 US�' I <br /> Prop sed use of structure(s) �`" I <br /> DRAW (e) Location of minimum sewage disposal area for septic tank and leach lines r <br /> ays and <br /> (a1 he lot or parcel involved, showing shape &dimensions (f) LocatiIrrigaton of existingon or eand`tp proposed driveways and aencrroainage chme'ntsareas r <br /> ches, waterw <br /> (c) he <br /> streets and other right-of-way and/or easements (g) <br /> (c)j�fie locations of all existing building and distances to tot 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 North <br /> I� <br /> - <br /> .. <br /> i <br /> 1� � � ^ <br /> E w- <br /> .�W <br /> W . t <br /> SF <br /> .171 <br /> NA <br /> -- ^ j. <br /> 07 <br /> i � <br /> - I <br /> 44 <br /> El <br /> Ll <br /> L zoo <br /> pprol <br /> :W <br /> 3 T, <br /> , <br /> lr <br /> i mm� <br /> � E <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 /> �lown on the above plot plan. , 1 {yf { <br /> Applicants Signature c <br /> bate <br /> PLANNING DIV. 1810 E. Hazelton Avenue . PUBLIC WORKS DEPT- 1810 E- Hazelton Ave. • ENV RONMENTAt_CAL HEALTH DISTRICT <br /> HEALTH DIVISION <br /> 1: Property meets zoning requirements for both 1. PROPOSAL APPROVED SUBJECT T0: .. 1601 E. Hazelton Avenue <br /> ! use and construction [� A. Encroachment Permit requireS� � <br /> Yes ns j] Zone ��` B. Surface drainage established as shown jD 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit 0 <br /> A, School district fee 0 a. Connection Fee Q B. Obtain well/pump permit— <br /> A. <br /> B. F loodway as shown j� b- Buy-in-fee O C. Change noted 0 <br /> C. Flood fringe Ll 2. REMARKS Ei�p S+ �` �' c 2. PROPOSAL DENIED C� <br /> D. Noise impact �n w,� 3."REMARKS <br /> r3. PARCEL MAP NO. date D — by r — <br /> j '4. REMARKS <br /> date�►�"!�"[� by G�',� <br /> FLOOD CONTROL: date eLoc. iNsv. is ca/a <br /> date /t'" /".(5 by by <br /> _79—— —5- <br /> o . <br />