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APPLICATION Applicant's Name ��'!<tt,!<tt,�, �>.705 T W- s s XNED el No. <br /> for <br /> El C&1ractor Authorized Agent book <br /> APPROVAL Address � 'nx /�779 <br /> ` page <br /> for City %i.)nnr�bi;i1h1 l'n 1 15 fs phone ':''it - +!•7ti _ <br /> - parcel ->--! <br /> CONSTRUCTION Owner's Name _` f vr., (2116' f%�}r/ +a r`i %.:' Subd. <br /> in Address--1/> '/""/6'` NnrA- -T i unit <br /> San Joaquin County City Lae/ raA7 9S?V <br /> phone block It <br /> Precise location of property ����� 'T r.""_. -'+`,_r %rJU �') /!)Ps " oJ� lot# <br /> Yes No <br /> sewers i <br /> Structure address <br /> ---- ----- water system � <br /> Proposed use of structure(s) ____. .-._ _— <br /> drainage system—0 <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 /> (b) Abutting 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 (h) Levees, with the crown shown <br /> (d) The locations of existing and proposed septic tanks and wells (i) WITH D <br /> -- OTTED LINES THE PROPOSED STRUCTURE or ADDITION <br /> North- <br /> 'f,'Ai "r a corer <br /> a!� <br /> !ro' <br /> Y <br /> f L J O <br /> f <br /> c <br /> 1 <br /> C <br /> Approxi Sok <br /> Applicant certifies that the property for Wch the-APPROVAL is sought is described as above and that all existing structures on the property 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 zoning requirements for both I. PROPOSAL APPROVED SUBJECT TO, NVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required",ai I(.4) 1601 E. Hazelton Avenue <br /> Yes Z1 No [71 Zone c a-�D B. Surface drainage established as shown E�] 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit—X <br /> A. School district fee [� a. Connection Fee 0 B. Obtain well/pump permit <br /> B. Floodway as shown 0 b. Buy-i I C. Change noted 0 <br /> C. Flood fringe L-=] 2. REMA K l r" v ` F f 2. PROPOSAL 9�,N IED <br /> D. Noise impact /date <br /> EMARKS <br /> 3. PARCEL MAP NO. - date '> In by <br /> 4. REMARKS ,5 yf'��b (/ sG <br /> FLOOD CONTROL: date <br /> date— by by n r' of BLDG Iry sr?. rat ea <br /> 0-7 <br /> G9�hka��/EGt�tAtiiF.NT _ l <br />