Laserfiche WebLink
Assessor's <br /> /sPParcel NO ---- <br /> n,✓M n 1.17 book--L-•�-----— <br /> APPLICATION Applicant's Name <br /> Authorized Agent (� <br /> �f Cion ractm Y C� page n d---�— <br /> for Parcel 7 <br /> !APPROVAL Address- phone. <br /> h for city. 5 A Subd.,-•---------- <br /> �I(�k��o' �' - Ar�AM <br /> CONSTRUCTION owner's Name ^ 1 t t o f G C. ITn .-- unit n-�-- <br /> in Address _phone block n --- <br /> San Joaquin County <br /> City <br /> lot x__-------- <br /> Yes No" <br /> Precise location of property sewers-_---0 rYJX <br /> water system_-d <br /> In 7�n W111111, z S.11-��u F drainage system—C� <br /> Structure addressA C,= -- i 11 �1 Ip A� `T?�.,r...r---- <br /> Proposed use of structure(s) `(e)Location of minimum sewage disposal area for septic tank and teach lines <br /> DRAW &dimensions (f) Irrigation or drainages ditches,water vQways andnd aencgoachme1nts areas <br /> and/or easements (g)Location of existi and proposed <br /> (a)The Iol or parcel Involved,showing shapeED STRUCTURE a ADDITION <br /> (b) Abutting streets and other right-of-way Levees, ith the crown Shown <br /> (c)The locations of all existing buildosetl arid distances anks and wells (1)WITH DOTTED LINES,THE PROPOS North <br /> (d)The locations of existing and Prop I .. <br /> , _ I <br /> I i <br /> BUNK wxl% <br /> - -- <br /> _- Noy I slur+ <br /> I _srs►�M -i i a <br /> 40 - <br /> :� <br /> 1007— <br /> + i _ C , i <br /> To <br /> . I j <br /> D - Appmx.Scslt I <br /> _ = <br /> escribed as above and that all existing structures on the Properly ay <br /> Applicant certifies that the property for which the APPROVAL is sought is d <br /> shown on the above plot Plan. Appiicanl's Signature <br /> Date OCAL HEALTH DISTRICT <br /> Avenue •PURLIC WORKS DEPT. 1810 E.Hazelton Ave. ' NV IRON MENTAL HEALTH DIVISION <br /> .PLANNING DEPT. 1810£,Hazelton I.PROPOSAL APPROVED SUBJECT TO: 1601 E.Hazelton Avenue <br /> I.I.Prope�oning requirements for both <br /> A. Encroachment Permit requUed �- 1_PROPOSAL APPROVED SUBJECT T <br /> use and co ruction ��,Q �j�(J 0. Surface drainage established as shown A Obtaining sanitation permit Q <br /> Yes No C� lone4?- C. Fees B.Obtain well/Pump permit <br /> 2.SPECIAL CONDITIONS a. Connection Fee-- - C.Change noted O <br /> A.School district fee a b Buy-in-fee 2.PROPOSAL DENIED ---- <br /> B. Floodway as shown 2 REMARKS 3.REMARKS <br /> C.Flood fringe O �ry�tyl <br /> D.Noise Imp act----77lI,,����� L) Fes"-t— <br /> 3.PARCEL MAF NO./LH" date-affl- by data —by"- ---�--- <br /> 4.REMARKS FLOOD CONTROL: <br /> t <br /> - b <br /> date <br /> Y <br />