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APPLICATION n,,,rlar,rnr:N.me EnIJGn G �'n <br /> I�f ASST 110x'1�i'a,•I N� <br /> for vcootfactor Auther,z^d Apent <br /> APPROVAL Address <br /> for City----------- fT?7>( J 9S 203 <br /> --- <br /> CONSTRUCTION owner's Name -�C'1J 7 <br /> in Address —.._ uJ v� 5 . 1•M1 I 11. / <br /> San Joaquin County CityTr- 7 <br /> pnon `f�5 38d <br /> ) <br /> e/ � <br /> bloc. <br /> I'rer.ise location of property <br /> pp��� <br /> ----- -- <br /> Structure address -- ��IB. _� �f���J�zi5.� sewers._ - <br /> c7 G,2--f water system <br /> Proposed use of strueture(s)__--_�(J drainage system__ <br /> DRAW <br /> 'a) The !Of or parcel involved,showing shape 8 dimensions (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> 'b) Abutting streets and.other right-of-way and;'or easements (g)Location of existing and proposed driveways and encroachments <br /> rc) The locations of all existing building and distances to lot lines (h)Levees,with the crown shown <br /> :1� The locations of existing and proposed septic tanks and wells (i)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION /� <br /> B•B Point Pea f ly R(�M�� (�� e, I �'� N� o,th <br /> b � r <br /> l <br /> ��u c.'jU lemic r�Z � <br /> In <br /> � L <br /> M <br /> <7 <br /> 12IoG0 C 1" " <br /> ,zoo r Sale t <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all exis i g struct es on the property are <br /> shown on the above plo plan. <br /> Dare----.�� �S —..---- <br /> Applicant's Signature <br /> •PLANNING DEPT. 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL EALTH DISTRICT <br /> 1.Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and cons ction A. Encroachment Permit required r L7 1601 E.Hazelton Avenue <br /> Yes No ' Zone B. Surface drainage established as shown[1 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2 SPECIAL CONDITIONS , / C. Fees A.Obtaining sanitation permit_.---_._ <br /> A,School district fee__ ✓ a. Connection Fee -.__-__ i._) B.Obtain well' um <br /> 8. Floodway as shown._ -_.—_ b. B4,np,"e ---- p p permrtC.Change noted <br /> C. Flondfrin s_ 2.REMAR �— -.-- -_ 2.PROPOSAL DENIEDD No se impact PARCEL f.tAP NO F��� �l /L,l --- — 3.REMARKS(, t� —�'—�mv - <br /> REf RKY date "� - s <br /> FLOOD CONTROL dated t0`�;�—by <br /> J <br />