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L1114alial, <br /> L APPLICATION Applicant's Name^ O^ FT /O Assessor's Parcel No.__ <br /> i <br /> for �,Coniraclm C AuthmizedAgent book Z39 <br /> APPROVAL AEaress $Q( I W A-)Me .to A Wts G page 700 <br /> for City r C.s- phone n ��a�' parcel ]iV <br /> !!! <br /> CONSTRUCTION Owner's Name v 1 `� / <br /> Subd. n <br /> in Addre —,4t r —BA4,C unit a /G' <br /> Son Joaquin Countycty - phone u <br /> _d 711 <br /> //�� � �va hleek <br /> Precise location 0 property L L-fA- fL. KN- J�- Ap. to1G >c1 mP _ Iola /J <br /> Yes No i <br /> sewers O 1-; - <br /> Structure address 1 ',, water system—L] C' <br /> Released use of structure49s) J C+-� •P Figr,r I T drainage system_(:] [ <br /> DRAW to)Location of minimum sewage disposal area for septic Unk and leach lines <br /> (a)The let m parcel involved,showing shape&dimenslons (p Irrigation or drainages ditches,waterways and drainage pouding areas <br /> (b) Abutting.beets and other right-.f.ay and/or (g)location of existing and proposed driveways and encroachments <br /> L Dries <br /> 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 Unand wells (f)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> Baia pebor P.0i <br /> f <br /> l5 D'LF Nv e Am.Basle <br /> t rtii' <br /> Applicanfim that Me property for which Dar APPROVAL Is sought is described as above anal at all existing structures on IM property are •f C <br /> t shown op ITB above plot plan. <br /> 6aa r <br /> Dare T^ Applicant's Signature <br /> • PLANNING DIV. 1810E Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E.Hazelton v,. • LOCAL HEALTH DISTRICT <br /> 1.Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT T VIROMMENTAL HEALTH DIVISION <br /> use aeM on truct on A. Encroachment Permit required 1601 E.Hazelton Avenue �- <br /> �` A �: <br /> Yes f� No � Zone -4 �!- -�la B. Surface drainage established as shown O 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS —/ C. Fees A.Obtaining sanitation permit <br /> pt - <br /> A.School tl strfee L� a. Connection Fee O B.Obtain well/pump permit <br /> B. Floodway as shown O b. Buy-in-l/¢�e C.Change noted <br /> LC.Flood fringe 2.RE RP 5�! - 2.PROPOSAL DENIED <br /> 0,Noise Impact � U 3,REMl1fl KS -Fz- <br /> 3.PARCEL MAP NO =' `�S-/ �_ /r <br /> a.REMARKS 7� U/ date tar data `' Ili J! 1.'k .-,. . <br /> FLOOD CONTROL: date— <br /> b <br /> L ate 7 by i% �'`� by I zI U/a-jG t <br />