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f/4N Assessor's Parcel No <br /> APPLICATION <br /> Applicant's want's Nam Authorized�Agent ( book - -- <br /> l__�Contractor /I �j .V/ <br /> for - a page --- <br /> APPROVAL Address —O9s <br /> for City <br /> �L/�• ( �.�✓i2v�' phone.v parcel <br /> CONSTRUCTION Owner's Nam — 3a�. <br /> me <br /> anti a -- <br /> in Address <br /> San Joaquin County Du plpyae blocks <br /> Precise location of praperry <br /> sewers (J <br /> - water syakm_[] C. <br /> Structure address drainage syskm—_) :_ <br /> Proposed use of structure(a) <br /> DRAW lel Location of m sewage dJ poral area for septic tank a— <br /> ...... le seines <br /> (a)The lot a parcel involved.showing shape <br /> 8 dimensions (f) Inlgatlon or drainages ditches,waterways and drainage pending <br /> (b) Abutting streets and other right-of-way and/a easements (g)Location d existing and proposed driveways and encroachments <br /> (c)The locations Of all existing building and distances to lot lines (N Levees,with the crown shown <br /> (d) The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION Nath <br /> ' I <br /> BeB Pbipr Ira Gab t :.TAV Poe, <br /> __. <br /> Y iµPIt3Q FP <br /> lG�.�'{!-.4,Atd _ .. <br /> 13ZD ,Q i�t DRT4B <br /> •. I .. X14 til # O)49T 'Wc1z <br /> ADR f Itt <br /> r i <br /> ------r-.---'rte-...... .. <br /> J j <br /> 1 Amnoc Scale l--. <br /> a <br /> Applicant rarities that ln$property for whit-the APPROVAL is sought Is described as some and that all existing structures on the pro <br /> are <br /> •.•�hmotronthe-above,plat-qkn.`�-q•.� <br /> U G r Applicant's 6tgnda <br /> Data <br /> • AL HEALTH DISTRICT <br /> PLANNING DEPT. 1810 E.Hazelton Avenue • PUBLIC WORKS DEPT. D SUBJECT E.ETO:Are. a ENVIRONMENTAL HEA TM DIVISION <br /> .PROPOSAL APPROVED E.IT0: 1601 E. Hazelton Avenue <br /> 1.Property meets zoning requirements fa both A Encroachment Permit required—O <br /> use and constructionB. Surface drainage established as shown 0 1.PROPOSAL APPROVED SUBJECT TO: <br /> Yes No C7 Zone 7�-`� C. Fees A.Obtaining sanitation psrmlt 0 <br /> 2.SPECIAL CONDITIONS a. Connection Fee O B.Obtain well/pump permit 0 <br /> A.School district tee 0 b- Buy-In-fee C.Change noted O <br /> B. Fuldway as shown I� y REIMRKS 2.PROPOSAL DENIED <br /> C.Flood fringe a 3.REMARKS <br /> D.Noise impact <br /> 3.PARCEL MA N data by dak,O _ bl, <br /> 4.REMARKS <br /> FLOOD CONTROL: utak ``®�aaa�op. w.P.``+.Iv.e, <br /> data by (`tSrAaia.,L.�OFI.YWsmrn...v.C4 a— <br /> [L�Jl..aut... i r'a� ham" <br />