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APPLICATION Applicant's Name ,1��41 P 'U.�S_. _­ Tjv c. Assessor's Parcel No <br /> for lXj Contractor ;,41 Authorized Agent book__ <br /> APPROVAL Address 044 —KFLLnf -Djl 157 f- `�� �7 �7 flags <br /> for City S/SkT�_8.4 ()A 9S',2 Q phone�S<"7G�,- parcel <br /> CONSTRUCTION owner'sNa.e 1?AL.Drf k ALcT7Y A)cAJ <br /> in Address L t li q Ai� 4,3( r/L rJ n?1 L,t <br /> San Joaquin Count _ �r�, � unitx ��F/S,5".9i <br /> Q Y City– sTU C k l li/y r A _q5'1�z phone�-�-� Aa$I oo.A/'J1s`_� <br /> i':ecise location of property V if �_;, rL F t J/ ter;t ✓ <br /> lot x <br /> Yes No <br /> sewers [-I <br /> Structure address l' %` .f \i ,! .�t L ) water system_['-I <br /> Pruposetl use of Structure(s) _ �1J .d A <br /> 1, 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 /> Ib) Abutting streets and other riRht•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 yells (i)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> r0�. �L A :.•r e': _ <br /> /or, <br /> ?MU PC=PM Gall f47 <br /> VV <br /> 1, Mow Aofl, <br /> fi P01,L <br /> I <br /> prnNr« � <br /> � s <br /> j C r%I i( -zl <br /> _ 5 <br /> i <br /> V <br /> O <br /> �._`a...r—+.�.ew.v-•-....+-..icor-•— _ <br /> I <br /> Y, <br /> N1UEWAY u�cLl,, i <br /> A_j \A <br /> Approx. 1_31—Lif— <br /> Applicanticant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are - <br /> shown ontheabove plot plan... <br /> Date /' 'G` �. �71y,r Applicant'sSignatureaclr� <br /> •PLANNING DEPT. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT..1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction / A. Encroachment Permit required I–] 1601 E.Hazelton Avenue <br /> Yes `y'; No --I Zone L 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 ;_] a. Connection fee B.Obtain well/pump permit <br /> B. Floodway as shown [] b. Buy-in. O ] C.Change noted C <br /> C.Flood fringe— 2.RE KSr 2.PROPOSAL DENIED C7 <br /> D.Noise impact l 3.REMARKS -! <br /> 3.PARCEL MAP NO. date <br /> , – — <br /> 4.REMARKS y� i <br /> date—' "` by <br /> 1 i FLOOD CONTROL: date <br /> I b ® BLDG.INSP. 14(3'791 <br />