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I <br /> `g `t/ `J <br /> APPLICATION Applicant's Name ,1n N/In CSP.�T� Assessor'sParcrelNo. <br /> for �./� <br /> �Cmtraclm Q Authorized Agent book Z <br /> d 3 <br /> APPROVAL Address. -�1�aI w A•1 mP..rt�P wi,.,, p page i <br /> j <br /> for City r� �'-`' phone ry r'��a� parcel ]i <br /> IL` CONSTRUCTION Dwner•s N,me tv., o ,f <br /> SuM. <br /> in Arora Yk, _ mac c( and /c ' <br /> San Joaquin County c.er P" 02/� mncka <br /> LPrecise location d property AJ A <br /> Yes No i <br /> sewers Q - <br /> Structure aeons, t' water system—Q CI - <br /> Pfoposed use d structure(,) S;W� 17 F'Tf+^'ss ls� 'L-- drainage system_p <br /> `r DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (al inv <br /> The lot or Parcel olved,showing shape 8 dimensions (1) Irrigation or dralnages ditches,waterways all drainage polling areas <br /> Ibl Abu <br /> Hour streets and other right-ofway,all/or earcemeatr (g)Location d existing and proposed driveways and encroachments <br /> (c) The locations of all existing building aM distances to lot lines IN Levees,with the crown shown <br /> (d)The locations d existing and proposed septic Tanks and,cells UI GWITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION /^\ <br /> I l , <br /> Bw rwp,P.omi <br /> 9_3 <br /> — F <br /> I , <br /> ` _ <br /> ` _ <br /> 6 j <br /> 60 w4 .._. . . _ _,. .. <br /> F <br /> _ � C <br /> Applicant rlif ies that the property for which the APPROVAL I....9r;is described as above and l at all existing structures on the property are <br /> shown R,the above plot plan. IW% - <br /> x <br /> Date Applicant's Signature I -( <br /> .PLANNING DIV. 1810 E.Hazelton Avenue .PUBLIC WORKS DEPT. 1910 E.Hereltm v . LOCAL HEALTH DISTRICT I (t( <br /> Y.usepapol trsuclioi^8 reps re�mJenls for both T.AR En,pactmern sAL APPROVED <br /> Permlt rep Bred JECT T 16011 E.Haazeilton AvenueTAL LTM DIVISION . <br /> - Yes I o n Zone •-/ �' -'/a B. Surface tlrainage established as shown Q 1.PROPOSAL APPROVED SUBJECT TO: �- <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining.sanitation permit ) II -- <br /> ASchooldistrictfee C� a. Comedian Fae Q B.Obtain well/Wmp permit— <br /> . q C <br /> S. Floodway as shown Q b. Buy-i Q C.Change noted Q <br /> C. Flood fringe Q 2.REPV —r- 2.PROPOSAL DENIED 0� <br /> D.Noise Impact Q 3.REMARKS < i1-��S�rnlr•. -(r <br /> IV <br /> 3.PARCEL MAP NO %-�3'-/�i ' _ <br /> e.REMARKS'�J/�.t (/ Aare by <br /> FLOW CONTROL:date <br /> data_ M /�`' V. by /�VI /17G( (4((.e Fat�y{„n±sP'�. m,.s <br /> LI I/ FO ri S fr7G <br /> / nSfxti <br />