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APPLICATION Applicant's Name— > _-��sc= Assessor's Pa7cej No.,for Contractor [_I Authorizer Agent book 73 '« <br /> APPROVAL Address •�' G. ' <br /> page Z <br /> for City <br /> C NSTRUCTION Owner's Name cel <br /> i n I y , <br /> Add <br /> - <br /> Saiz Joaquin,Courity' City unit n <br /> 4 <br /> phone block a <br /> Precise location of property of x <br /> I, <br /> I� Yes No <br /> i Structure address_.. q/0,7— <br /> �� � �• � sewers Elwater system O <br /> F Proposed use of structure(s) _'f98M S,.tCjC= :• �i �Q r7-,a�. drainage system_ <br /> 3`t DRAW (e) Location of minimum sewage disposal area for septic tank and leach lines <br />/ (a).The tot 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 1 existing and proposed driveways and encroachments <br /> (c) The locations of all existing building and distances to lot lines (h) Levees, w ith the crown shown <br /> (d) The Ideations of existing and proposed septic tanks and wells (i) WITH DO'+TED LINES, THE PROPOdED STRUCTURE or ADDITION <br /> It <br /> North <br /> 1 <br /> Ittj- <br /> ­4 <br /> 1 <br /> - i <br /> .. f_ _...� .,�._ _ - <br /> _ ...,� , <br /> ' - T <br /> -r-r• - - - <br /> I } i <br /> \.. <br /> I , , .._.._. ,. .,.- �......... ... .... 1 -- <br /> - <br /> i _ { <br /> .rte <br /> 1 , 1 <br /> � I <br /> ..7 I <br /> ... • _moi <br /> , <br />' <br /> i <br /> r <br /> I I <br /> - <br /> i <br /> ' j. T ; I <br /> _.. <br /> .r' �' i -h- i., i r' r-- -1 }... -.y-_F..�. _ ., } •i <br /> i I <br /> i <br /> ' I I <br /> 1 <br /> _ }I— <br /> nal �r r' 1 r( <br /> , <br /> 10 <br /> Appliji L <br /> cant certifies that'the open far-which the APPROVAL Is sought Is described as above and that all existing structures'.on theproperty are <br /> property ., <br /> shown on the above plot pian. ! r are <br /> Date Applic ant's Signature—lC <br /> 1-. - .. .I....� <br /> r PLANNING DEPT 1810-E Hazelton Avenue r PUBLIC WORKS DEPT.- 18111 E.�HaxClton Aye:' •'LOCAL `HEALTH 0tSTRIGT <br /> 1. Property meets zoning regwrenients to both 1 .PROPOSAL APF'ROVED.S:JBJECT TO ENVIRONMENTAL. HEALTH DIVISION <br /> use and construction :. I A• Encroachment;Permit'rrquired Lam'. :'1601 E. Hazelton Avenue <br /> Yes No'[] Zone B. Surface drainage estabilshed as shown 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS' I` <br /> C. Fees. -A. Obtaining sanitation permit <br /> A, School district fee - -a. Connection'Fee [� . r B. Obtain well/pump permit 0 <br /> j B• Floodway as shown b. Buy,in-fee [] C. Change noted_ <br /> C.--Fl6od'fiinge li CI 2. REMARKS <br /> D.Noise impact 2.. ENfD O <br /> PROPOSAL•D <br /> 1. PARCEL MAP"NO. <br /> 3.REMARKS _ <br /> 4. REMARKS date' <br /> qe <br /> IL FLOOD CONTROL: date_ date' by . <br /> dates. �. <br /> y <br /> - - by by. - _ _—. 11) *LOG.-IN'P. 14 (V791 <br /> : <br />