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SAN JOAOUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> AI•H P-3-- _^C <br /> .7wner't Name <br /> ��` � 4 7-rA =I�d nMIN .arm.+! <br /> Addnas R1L�0}L Z� feap <br /> _QA�? � �3� phone <br /> CILy �_ zIp Comes 7r.....—� <br /> Applicarls Name N 51� Setback. Lo J-429J ContractT or i��+T1ef_ trend.�—_ <br /> �� 2/- Ara ' 01 <br /> CityAdd zip 4e'�z7� phone ?��-.- �`7� fit>n1 <br /> `� roar 300 <br /> Precise location of property ` Yea <br /> hh sewers 0 <br /> s Shucttrr. aBQr.ss waist system__a <br /> / 4-rr dA AL drainateayfuia—© - <br /> Preposed use of structuress} _ -- -- <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and lank a <br /> Lal The tot cr parctl involved,showing <br /> shape ✓!dimensions (1) It Italian a drainages ditches,waterwayt and drainage poftdint areas <br /> (b) Abutlir~ streets and other right-of-way and/or eacemen.s (g)Lacetiors of existing and proposed driveways and erreroatlrslentf <br /> (c) The locations of all existing building and distances to lot lines (h)Levees with the cram shown <br /> (d) The locations of existing and proposed septic tanks and welts (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> i <br /> I - <br /> N ' <br /> o t � poaL <br /> -�- �- <br /> _. .{= �,� <br /> + <br /> 1 , <br /> cr. I ie.11w,Lew property for wht_h the APPROVAL is sought is desc ibed as above and that all exisliti structwSs an the property are <br /> sh7wn on the abovy plot plan <br /> Date <br /> Applicants Signature <br /> .AFL Af tG DIV 1810 E Hazellon Aver Jt • PUBLIC WORKS DEPT 1810 E Hazelton Ave • LOCAL HEALTH DISTRICT <br /> Property meets zoning requuer,ents for both AT�RDY4aAL APPROVED SUBJECT TO `ENVIRONMENTAL HEALTH DIVISION <br /> use aro cons on I A Encrcachr-ent Permitrtrjueo (, 1601E Hazelton Avenue <br /> Yes No p Zan a Surface eta,nage established as shown C] + PROPOSAL APPROVED SUBJECT TO <br /> 2 SPECIAL CONDITIDNS C Fees A Obtalnlrtg sanitation permit <br /> A School district f r a Ccnnactron Fee [� 19 Obtain vjWpump permit <br /> 8 Floodway u s wn J b Sur In Tee C Change noted <br /> C Flood rrfnge 2 REMARK, 2 PRO1°OSAL DENIED C <br /> D Heise iraaR£kLARKS -M4'— �- <br /> 3 PARCEL date 5�a-740br J 1 I 1hrirr/✓ s%PrY /7�� <br /> date_ by <br /> FLOOD COKTROL. dale_} l r�J^r7 7 <br /> by ?y��- 0 •�oO rsry t• <br /> - len tielid Until Q 3 r 7 �t1�LA•va Irm r3 Ajar ze.i; > >7K tau-yR, Ga..agr <br /> ?, <br /> f — t3y Fr RM nngPh s..T._e -VA <br />