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k� H <br /> Applicant's Name W _ &�ms . <br /> Asitssar'.s Parcel NO. .:. <br /> L7 Contract r" ( } Authorized Agent !� <br /> f <br /> OVA Address , ` / � � book <br /> i <br /> far city - a f 1 : 'r phone ,. , <br /> parcel <br /> V- <br /> C <br /> owner's Name. L')in <br /> , <br /> Address <br /> San Joaquin County '_ unit <br /> City /rG aleck <br /> 40 <br /> Precise location of property —•► 1:r: ,•rr ' ;fit'' �r" °: r r <br /> _ lot R. <br /> ducture address sewers <br /> L <br /> water system M <br /> Proposed use of structures)_ f` .�1r, `P draiitalge system <br /> D1tA1N' i (e) Location of minimumsewage disposal area for septic tank ane leach litres <br /> %, <br /> (a3 the lot or parcel involved,showing shape &dimensions (f) Irrigation or drainages ditches,waterways and drainage poridL�amass <br /> ''0 Abuttlnx strests'and other right-of-way and/or easements (g) Locatioi df existing and proposed driveways and:ancroachmmtts - ` <br /> (c) t'he location:}of all existing building and distances to lot lines (h) Levees,.with the crown shown' <br /> (ds 'aha IoCatl*M or existing and proposed septic tanks and wells (i) WITH DOTTED LINES, "g PROPOSED STRUCTURE or ADDITHM ." <br /> I OF <br /> -'4:r.; I. I I ,.1,.... .::.i-•:e•—r« l—µ,-,�,M .....ia r .., �i '� rn .. <br /> # y <br /> 1 T T L t tl <br /> S w <br /> I <br /> 1 F <br /> ( _— <br /> a � <br /> Ll <br /> LIF, j <br /> I s <br /> + <br /> - 4> <br /> r Fx i .i q <br /> I <br /> : <br /> 16, <br /> , <br /> it _' I <br /> %J, r , <br /> t <br /> rr- <br /> I � f <br /> -f <br /> r <br /> Applicant certifies that the property for which the APPROVAL is sought is describsd as above and'tkitall fisting strue 1on theerty propare <br /> • '• k <br /> , <br /> pati APP3icant's Signature "�:� y1 .� ��I! /' ,.f- -• <br /> PLAN PING DEsPT. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT- 1810 E. HazeltonLAve,./ . LOCAL HEALTH DISTRICT . <br /> 1. Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT It *"ENVIRONMENTAL HEALTH DIVISION- <br /> use and cg�tructron A; Encroachment Permit required s 1601 E.Hazelton Avenue <br /> Yes !' No =) Zone B. Surface drainage established as Shown 0 1. PROPOSAL APPROVED SUBJECT TO: <br /> !S.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit <br /> A.School dlstrkt tee a. Connection Fee_ Obtain well/pump pernitit <br /> 13. Fioodway as shown F b. Buy-in-fap _ © . C. Change notedCl <br /> _ <br /> C. Flood fringe _.. 2..REMARI$S fir" - 2. PROPOSAL DENIED <br /> D. Noise impactaij 3. REMARKS <br /> 3.PARCEL 11AP, y <br /> 4 4 date _. by y 1 ,r _ <br /> R K �{_ <br /> AP' FLOOD CONTROL: date datA by <br /> ce , <br /> by :c%r '", ?`-- <br /> b by <br /> da _ we4DG :;TLBP. t� ld�7il <br /> 1 \ <br /> r - <br /> { <br />