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APPLICATION Applicant's Name` ' Assessor's Parcel'No <br /> C tractor"'' o Authorized Age book `I� <br /> for a. QQ 11 . <br /> APPROVAL Address •page-. 0 <br /> . , <br /> for city �... 7n �- - Phone t 1�� ��-}! parcel <br /> C60STRUCTION Owner's Name sold. <br /> rn Address unite <br /> Son .Joaquin County City phone block 0 - <br /> Precise location of property <br /> l�(��f <br /> _ sewem cz] <br /> Structure address water system <br /> -•---��LI�, • ._ � drainage system. <br /> Proposed use of structure{s} S 1 � � �--LiJ+' <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 drainages ditches,waterways and drainage ponding areas <br /> (b) AbutttnR streets and other right-dwway 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 septic.tanks and.welts (1) WITH DOTTED LINES,THE PROPOkD STRUCTURE or ADDITION <br /> 1 777 1 I � 1 <br /> '. ", r�.�. r -r y. _"jJ-.,•.' � I- 1 1.:.�-f�l �--{, ..1:J—�-3--'��--�-.-i_..... _E...L <br /> .4...Y_.�_...- .I'. - � ..�.�...�..� <br /> 1 r <br /> , <br /> I' �'• <br /> _ <br /> - r-1— <br /> A. <br /> _ <br /> 1 1 <br /> : <br /> � 1 t <br /> t <br /> . I <br /> If <br /> �Fr .. �. <br /> ...1. j�51�Ar- a!L "-7ays' <br /> 4._ <br /> 1 ' <br /> .. <br /> :L <br /> } I <br /> t i�..i <br /> ' i._4_..1_..,_ <br /> LJ <br /> : <br /> .- - - <br /> -' <br /> ------ _ �,.._- --.,�_ . - � � � , _.�.; ,:� .'_ :etn+;art siade'��� . �a o i <br /> - Applkailt certifies that the..property,forVwhich the APPROVII�Is sought Is"described as above and that all existing-structures on the•pfo <br /> shown on the #bave plot'plan. <br /> Date �� fir' ---- Appllea,'It's Signature <br /> PLANNING 6EPT, 1810 E.Hazelton Avenue i OUBI IC WORKS DUPT. 1810 I,. Hazelton Ave. s LOCAL HEALTH DISTRICT <br /> 1. operty•meets zoning requirements for boat .1.-PROPOSAL•APPROVED SUBJECT TO. 'VIRONMENTAL"HEALTH DIVISION <br /> use and construction .� � A.`Encroachment Permit:req sired 1601'E.,Hazelton'Avenue <br /> Yea a Zone, B. Surface drainage established ss shown '` 1., OPOSAL APPROVED SUBJECT T0: <br /> t E=J''N". E] <br /> I `SPECIAL CONDITIONS C., s=ees to sanitation permit <br /> ! A. School district fee' . ...a.,Coinlection Fee— p B. tain well/pump permit <br /> 8. Floodway as shown b. Buy-int.Change noted <br /> C. Flood fringe 2. RE MA 2."PROPOSAL DENIED <br /> D.,Noise Impact ] 3 REMARKS <br /> 3. PARCEL MAP,'NO.� t' <br /> a."IiEr�tARxs :� �._ <br /> date'.. by--� ossa it <br /> ZZ 1 <br /> ',. <br /> .FLOOD CONTROL: date74 <br /> _. <br /> da te's by BLOM I sv 14 IS/'PSI <br /> -ter. <br />