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��[J1/�CJ L(t?~L.. Assessor's Parcel No. <br /> APPLICATION Applicant's Name to <br /> for L7 Contractor C Authorized Agent book — Z <br /> APPROVAL Address �' * page ZZLJ <br /> City phone 7 // _ <br /> for parcely <br /> CONSTRUCTION owner's Naar — Subd. <br /> in Address <br /> unit a <br /> Son Joaquin County City �•y _/ phone. block a <br /> Precise <br /> �location ofproperty <br /> l �� late <br /> �L U _ Yes No <br /> sewers C C., <br /> Structure address water system—0 C r <br /> drainage system_0 L' <br /> Proposed use o/structures) <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 drainage$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 seek tanks and wells (1)WITH DOTTED LINES,THE,PROPOSED STRUCTURE or ADDITION <br /> NL curb-� <br /> eetl Mae Palo;a*. <br /> N. 69a 39' 30" W. 315.00' (R <br /> IP talt!I.S31)0 <br /> + Per Pu '1 it per <br /> �l gtrt'in T'MK/t-g.�N 41Nfs 7 •o <br /> r-- ------------ <br /> a: — —' n—^ <br /> t:000 su.FT. ,. 9-1 <br /> ARCEL A ; <br /> i LEACH FtELO AREA,__2 t Nate. too we4is'to be taca%*d w0til"100'o tha�;e � • <br /> C --�—��— .-- --- O <br /> in <br /> ` �i�.V64 DtziJC I <br /> f9Y otAMeR• TAT <br /> 0*turd. Dr 00114FL. <br /> %1. 89• '!9' 30 W 91Soo' <br /> Igo' <br /> .o VMr� <br /> DETAIL PARCEL A Q <br /> SCALE 1" ` so, k <br /> T <br /> i4 A.tsgox Sale I <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and ttna existing t,rots o�pj�thezz <br /> are <br /> shown on the above plot plan. 9 " <br /> Dater Applicant's Signet <br /> •PLANNING DIV. 1610 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1610 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> 1.Property meets zoning requirements for both •PROPOSAL AP ED SUBJECT T NVIRONMENTAL HEALTH DIVISION <br /> use and con nation ,: A � A. Encroachment Permit required 1601 E.Hazelton Avenue <br /> Yes No 0 Zone B. Surface drainage established as shown C7 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS / C. Fees A,Obtaining sanitation permit <br /> A,School district fee Q/ a.Comretio n Fee O B.Obtain well/pumP permit <br /> B, Floodway as shown C b. Buyi . a C C.Change noted C <br /> C,Flood fringe l� 2.REMARKS OS 2.PROPOSAL DENIED 4 <br /> D,Noise impact s 3' EMARKS ' ` c �'^• <br /> 3.PARCEL MAP NO. — — date by J <br /> 4.RE S date - — -by <br /> FLOOD CONTROL:date -- ® t oa.r +s uie <br /> by J Ps f'rd FU S°T1Pr� wry <br />