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II . <br /> APPLICATION Applicant's Name_-_ -_ [ k S '� _ Assessor's_Parcel No. ._ <br /> y fOr7 Contractor i--l Authorized Agent • book <br /> - <br /> APPROVALAddress <br />} for city �. <br /> phone� page-- - - <br /> parcel <br /> CONSTRUCTION . owner's Name -- <br /> i <br /> in <br /> Address Subd. <br /> San Joaquin County City punit 4 <br /> / hone block <br /> r F Precise location of property ) �Vo/"197 Q-1 ��� f Lr.-- <br /> ! s„ lot _ <br /> Yes V0 <br /> Structure addressw-, # a � } r �,,,,, <br /> sewers LJ ; <br /> -7 w-13 water system j—j <br /> Proposed use of structure(s). `�t! f (� �„ drainage system <br /> �. - <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) Abutting streets and other right-of-way 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 proposed se and ro osed tic tanks and wells I DOTTED LINES, THE PR <br /> N fm.W-4� OP05ED STRUCTURE or ADDITION <br /> P <br /> North' <br /> _.J_.a <br /> •:.wanwg. <br /> q -J - <br /> _fia - <br /> t <br /> i <br /> a <br /> k <br /> w. <br /> 14 <br /> ry� <br /> -. - . <br /> r € ,..... ;....-. of - <br /> Y <br /> F _ _ <br /> y� <br /> Ji <br /> Jj <br /> d <br /> , <br /> a <br /> ` - " <br /> 77 " <br /> 3 ... <br /> f- <br /> - Apps'Scale, <br /> j -- if-in <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> shown on the above plot plan. _u. "` .a-.._, +��A 11 g <br /> i <br /> �, , v ,� pp cant s Si nature�f <br /> • PLANNING DEPT. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave.r • LOCAL HEALTH DISTRICT <br /> 1. Property meets zoning requirements for both I. PROPOSAL APPROVED SUBJECT.T.O: ENVIRONMENTAL HEALTH DIVISION <br /> use and struction A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> Yes ffj�coNo [-7 Zone -�t�r�i . B. Surface drainage established as shown 1. PROPOSAL APPROVED SUBJECT T0: <br /> 2. SPECIAL CONDITIONS ` C. Fees A. Obtaining sanitation permit <br /> A. School district fee <br /> a. Connection Fee B- Obtain well/pump permit <br /> B. Floodway as shown P b.MA•PNO Buy-in-fee— <br /> C. <br /> uy-in-fee 0 C. Change noted <br /> D. Noise impact <br /> C. Flood fringe 2. PROPOSAL DENIED r <br /> � 2. REMARKS � <br /> !� �,,�[. <br /> 3. PARCEL_ " fg�by .. 3. REMARKS . <br /> 4. REMARKS t i� date <br /> _ a date��' 'Sf by / G1 . <br /> ��{-//�/A$ , FLOOD CONTROL: date <br /> date 1'! e BLDG. INSP. 14 (3/791 <br /> Y <br /> iI ' <br />