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�S 43 Ir <br /> of Plan Application j <br /> C SAN.JDAOUiN COUNTY DEPARTMENT OF PLANNING AND BUILDINGINSPECTIONfJ S A.P.N. �0- 3;> <br /> Owner's Name o p �. �,�� .��_. <br /> Subd_name <br /> Address <br /> � )) �d h/•* C _ <br /> CJ # map <br /> city zip phone i/J5 bt/lot <br /> Applicant's Name L< Census Tr, �: - <br /> Contractor Q Owner Setback- <br /> Address front P. <br /> left - <br /> City 1 5y' �` ., <br /> -'1�5 l7<: : <br /> zip_ phone <br /> right `= <br /> Precise location of property R - qY3-)Y f/. O& k+t' ST / Q. - <br /> rear <br /> { <br /> structure address Yes No <br /> Q/ .•� A sewers <br /> water system_0 <br /> Proposed use of str ture(s)_. s A' 1e; drainage system_[] d <br /> r+nne I {e)Location of minimum sewage disposal area far septic tank and leach lines <br /> {a}The lot or�paicel involved,showing shape b dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas `_ <br /> fbl Abutting streets and other right-of-way and/or easements {g)Location of existing and proposed driveways and encroachments <br /> It, <br /> The locations of all existing building and distances to lot lines {hl Levees,with the crown shown <br /> (d)The locatipns of existing and <br /> -_ !{— proposed septic tanks and wells {1)WITH DOTTED LINES THE PROPOSED STRUCTURE or ADDITION ' <br /> r <br /> L <br /> �- <br /> - - -. <br /> I <br /> North s <br /> g. <br /> i 1 -i i <br /> _ - <br /> nuc , <br /> { yT <br /> '4 -� E,. NF1 - <br /> _ <br /> , ? <br /> +plicant certifies that#the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> own on the above plat plan. <br /> to i rY `• <br /> Applicant's Signature- <br /> PLANNING DIV. X1810 E.Hazelton Avenue .PUBLIC WORKS DEPT. IS10.E,Hazelton Ave. LOCAL HEALTH DISTRICT <br /> i <br /> 1.Pro rt <br /> ce y meets zopin�,repuirements for both 1:'PROPOSAL APPROVED SUBJEC 0• ENVIRONMENTAL HEALTH DIVISION { �' " <br /> use and construction;: A. Encroachment Permit required��� 1601 E.Hazellon Avenue =.4— <br /> Yeses Zone. B. Surface drainage established as shown p I.PROPOSAL APPROVED SUBJECT T0: <br /> ?.SPECIALCONDITIONS C- Fees i <br /> A,Sc hoof district fee '� A.Obtaining sanitation permi r ' <br /> S. Floodway as shown a. Connection Fee =] B-Obtain weif/um /l <br /> }{ p ppermit�a <br /> C.Flood fringe 4 b' Buy-i C7 C.Change noted <br /> D.Noise impact~— 2.RE 'F 2.PROPOSAL DENIED <br /> 1.PARCEL MAP <br /> I.RE KS { date b/ <br /> .. r - <br /> FLOOD CONTROL: date date 2`1.2 by <br /> date b .,�. . <br /> y ei BLDG.IN SP. Ia re/ee ' <br /> la 1 Validk Untfl <br /> ( F <br />