Laserfiche WebLink
Assv�*!'vtlpdt@ No <br /> APPALICATION Applicant's Name f ,L <br /> Q_ Contractor uthorrzed Agent bookor <br /> - - ,�_-- <br /> .. . . <br /> �.__ �' � .._ .._.-__. _... . page <br /> APPROVAL Address _�___ _. �--' ��/ - - — <br /> G_f l - .phone_ a.2 Y?- <br /> foe City- _._- ...-_. parcel <br /> CONSTRUCTION owner's Name. L _ -— --- Subd, . - -- <br /> in Address. _. - - �.� __ - - - �.. unit ++ <br /> San Joaquin County City- phone-A _�a ?-_ block fi <br /> Precise location of properly -----.. ._ - ----- -- _- - - - _.- _._._. - - lot a <br /> Yes N <br /> sewers __C: <br /> Structure address _ - -- - -- water system [ [ <br /> r drainage system <br /> F} Proposed use of stiucture(s) I L ---IeA s --------- -- - - - - - <br /> T DRAW iel 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 riRht•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) Levei s, with the crown shown <br /> (d) The locations of existing and proposed septic tanks and wells (i) WITH DOTTED LINES, THE PROPOSED ST CTURE or ADDITION <br /> ^,,th <br /> &W pai"PM 011111F 4_6 7' a r <br /> s - <br /> 71 <br /> r <br /> r <br /> r <br /> Approx. sc.le.1-- '. <br /> Ap;.t:c,.-1,4ertifre; ti-at t�e jwoperty for wnrch tare AFFROVAL is sought is described as above and that a 3s 'ng structures on the pr y are <br /> shown the abs a plot Ian. + <br /> Date Applicant's Signature _ -_ <br /> • PLANNING DEPT- 1810 E, Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton A t_OCAL HEAL,Th DISTRICT <br /> I, Property meets zoning requirements fbr hath 1�PROPOSAL APPRQVI:D SUBJECT TO; i ENVIRONME.NTA1. Ht.ALTH DIVISION <br /> use and construction A. Encroachment Permit required , . _ ( ,I 1601 E, Hazelton Avenue ' <br /> Yes t-_i - No ; .i Zone= _ B. Surface drainage established as shown ,) 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C, Fees A. Obtaining'sanrtation permit <br /> A. School district fee__ -- r- a. Connection Fee_.�__ __ _ _._l B- Obtain well pump permit <br /> B. Ftoodway as shown- j I b. Buy in fee_ Y____.._.___,._ _ _W __ i_} C. Change noted <br /> C. Flood fringe— _I 2. REMARKS _,__ _ ,_-_-- ?. PROPOSAL DENIED <br /> D, Noise impact ----- <br /> 3. PARCEL MAP NO3. REMARKS-------_..-_ - <br /> . _-- --- - -- -- -- ---— -- <br /> .. date__ _ ._W_ .--_ by--- <br /> _--~-----=,------= <br /> 4. REMARKS <br /> date - _by <br /> .FLOOD CONTROL_: dale------- __ .- ._ <br /> date _. <._ .. by-- ---- :_ .T�_. by <br />