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in t Address del unit 9 <br /> Joaquin County City phone block# <br /> vise location of property ���1 C� �Ayr U t-e `-� V lot n <br /> n C�a rr' il.i] Yes No <br /> sewers 1p D <br /> structure address water system p [� <br /> Proposed use of structure(s) `.= "� M (1— '-/ dr8inage system p [] <br /> DRAW; (e) Location of minimum sewage disposal area for septic tank vidjeach lines <br /> Wt; Thr:•lot or parcel involved, showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage poking areas <br /> r (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 - x <br /> (d) The'Bocstions of existing and protanks posed septic and wells (1) WITH DOTTED LINES THE PROPOSED STRUCTURE or ADDITION <br /> orth <br /> L ZIN�l\h <br /> !L- j <br /> Tow -4- <br /> 4- <br /> H] .14.11--ir <br /> 1 # <br /> t ; <br /> 77 <br /> ...�...-S"'•" W.^.+- <br /> I <br /> 1 � f <br /> ...,. ., <br /> ..M <br /> 7 .� <br /> 44—S_T I �_ _.� I � -I � i � I T• _'• � X11 .. <br /> E <br /> , <br /> : 1 <br /> I _ <br /> f- �* -- „ . <br /> ....t r <br /> I i <br /> I I _ <br /> F f 1--i -L--�--.p._. L_ - <br /> y- <br /> {-*---t .. <br /> h7 <br /> + <br /> # <br /> -,i <br /> . <br /> { <br /> ' a a <br /> i �.. t <br /> kpplicant certifles that the property for which the APPROVAL Is sought is described as above and that all ex ting structures�the property are <br /> itt <br /> IV <br /> .hown on the above plot plan. t <br /> )ate Applicant's Signature / �I <br /> PLANNING p 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave <br /> Wets . LOCAL HEALTH DISTRICT <br /> I. Property ets zgning requirements for both 1.PROPOSAL APPROVED SUBJECT ENVIRONMENTAL HEALTH DIVISION <br /> use and construction _ A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> Yes DI <br /> No Zone B. Surface drainage e:otabiished as sh 1. PROPOSAL APPROVED SUBJECT T0: <br /> 2.SPECIAL CONDITIONS C. Fees' A. Obtaining sanitation permit- <br /> A.School district I" p a. Connection Fee -•+EE+ B. Obtain well/pump permit C!l <br /> B. Floodway as shown F-1� b. Buyan-fee; tf"T C. Change noted <br />