Laserfiche WebLink
APPI_iCA r!aN Applicant's NaP,55e:Sor'S r'dreel No <br /> _me <br /> for ontractor Atrihoriz A Agent be-.k .... <br /> APPROVAL Address--------__—���- --- -. _ �_ ___ .-.-.-- - - page <br /> For City phone parcel <br /> CONSTRUCTION Owner's Name ..---------._.— - --- — - -___ __ _.__.__-- -_. Subd. — -----__-. . <br /> in Address -- -__— unit a <br /> Son Joaquin County <br /> City - ---- ---.. _ _--- - phone ��__---._- block a � - <br /> 'fecise location of property _..._ -- - - --. __-_ _..- - - - -------- lot a __ zg_-_--- <br /> _ Yes No <br /> # sewers <br /> tructure address ....._ -- _ - _ - -. ._. ..._� _. _-__ .... . ........ ......_ water system <br /> roposed use of structure(s).__ _____-.__ __-___�_ <br /> arainage system _ , {} <br /> DRAW (e) Locatioi of minimum sewage disposal area for septic tank and leach lines <br /> a) The lot or parcel involved, showing shape dimensions (f) Irrigatio i 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 alt 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 DiILTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> North <br /> DAU Paint FM� Q!? <br /> z <br /> JID <br /> f <br /> t <br /> Approx- Sane E-- <br /> applicant certifies that the property for which the APPROVAL is sought is describ d as above and that all existing structures on the property are <br /> gown c,n the above plot plat,. <br /> Date App icant's Signature _.____._...__.._. ...._____.---_--- <br /> . PLANNING DEPT. 1810 E. Hazelton Avenue e PUBLIC WORKS DEPT. 11 10 E. Hazelton Ave. e LOCAL HEALTH DISTRICT <br /> T Property meets zoning requirements for both 1- PROPOSAL APPROVEC SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A, Encroachment Permit required._- i 1601 E. Hazelton Avenue <br /> Yes j No r,j Zone f3_ Surface drainage estzblished as shown [ -'i 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A.,pbtaining sanitation permit u <br /> A, School district fee W._. r 'I a. Connection Fee.._ B. obtain well 'pump permit E77 <br /> B. Floodway as shown b. Buy in fee ---- -- C:Change noted <br /> C. Flood fringe 2 REMARKS_ _ 2. PROPOSAL DENIED___, _-__.-- <br /> D. Noise impact T _ 3. REMARKS__--- <br /> 3. PARCEL MAP NO. date r by -- <br /> 4. REMARKS - --- - F - <br /> -�_ . <br /> FLOOD CONTROL.: dat: date by--__ -.— <br /> 15)1 <br /> by . _ by....__.. -- ----- - - + ©� G- iN a 3 <br /> 1� <br />