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Was / #/0 ?9 <br /> APPLICATION Applicant's hm.-b 3"n��f�-a.acTr Assessor's Parcel No. <br /> �,G � <br /> for LontreC�clor Authorized Agent book Z 3 el <br /> APPROVAL Address LU ossa <br /> po <br /> pair-- (� go 7o ZJ <br /> _ for City ^ phone n.�s'a Ta Z_ parcel Ziy <br /> CONSTRUCTIONOwner' N rrG / _ Ski _/ <br /> in Addre ! A �f�-�hG.6 �CJ <br /> block �U ' <br /> lim, San Joaquin County City ^ ' f1ccc vhane -mss�-0 2 � black a <br /> Precise location d property I-& - L-f UA JG KC!- �- f{H J PtoW m lata Iry <br /> Yes No <br /> Structure addresssewers <br /> t�� ^ water system_ �• <br /> _ Proposed usecif struclure(a)� Le �� .l�' -L drainage system—LJ L' <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach Imes <br /> (a)The lot or parcel involved,showing shape&dimensions (f)Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting soeefs am other right-of-way aM/a easements (g)Location of existing and proposed driveways and encroachments ...,.iY. <br /> (c)The locations a all existing building and distances to lot lines (h)Levees,with the crown shown <br /> Was (it)The locations of existing and proposed septic tanks and wells (i)WITH DOTTED LINES,THE PROPOSED STRUCTURE a ADDITION <br /> Y sD rem Pass ah <br /> _ I - . <br /> i <br /> 3 <br /> _ <br /> _ <br /> miss <br /> _ I <br /> him <br /> N/VI�+ <br /> Appms.SnN 9 <br /> ` Applicant rtif ies that tae property for whicM1 the APPROVAL is sought Is described as above and t t all existing structures on the property are <br /> ahawn or the above plot plan. <br /> Date Applicant's Sig to 17 JC ' <br /> .PLANNING DIV. 1810 E.Hazelton Avenue .PUBLIC WORKS DEPT. 1810 E,Hazelton v .LOCAL HEALTH DISTRICT ! _ <br /> ` 1.Property meets zoning requirements for both T.PROPOSAL APPROVED SUBJECT TZVIRONMENTAL HEALTH DIVISION <br /> use and c�an`lruclion A. Encroachment Permit required 1601 E.Hazelton Avenue <br /> Yes (� No 0 Zone B. Surface drainage established as shown 0 1.PROPOSAL APPROVED SUBJECT TO: � <br /> t.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit_ - <br /> A.School district fee E3/ a. Correction Fee Ej B.Obtain well/pump Permit— <br /> miss <br /> ermit` B. Floodway as sham O b. Buy-in- Q C.Change noted E <br /> 0.Flood fringe L7] 2.REPV �� 2.PROPOSAL DENIED Q <br /> D.Noise Imput '� 3.REMARKS 3 <br /> 3.PARCEL MAP N <br /> e.REMARKS .a-•.cid data by date •fir by:. <br /> mixFLOOD CONTROL' date p <br /> date 2' b. I� V" by <br /> 7YS7A <br /> ♦ 'CO ft <br /> Al <br /> ` 57tff�/IJI,7hACr= [ (3 1077 <br />