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-`� Y O I <br /> I <br /> .' APPROVAL FOR DEVELOPMENT PLAN FOR MOBILEHOME l,fy <br /> APPLICATION FOR <br /> )p C <br /> Permit 1 :< <br /> Receipt 4 <br /> �`�7 <br /> Appheant's Name CJ > > - �^ Z Assessor's Parcel N <br /> Authorized Agent Book —.-- <br /> Address Z's--Z Page5- - <br /> City --' .-y/ y Phone ` �' - Parcel r -- - <br /> ' Owner's Name ���"//' (L 1 2l griculture Worker <br /> 4 Address ( ) Accessory <br /> City Phone ( )Caretaker <br /> Precise Location of Property7 —jit E ) Construction <br /> Acreage 220 <br /> Structure Address l Public Sewer❑ Yes L-N-1 <br /> jProposed Use of Mobilehome(s) !� i� = �( 1cc_Z--_ Public;Sewer❑ Yes ❑ No <br /> Draw: <br /> (a)The Lot or parcel involved,showing shape and dimensions. (I) Irritation or drainage ditches. <br /> (b)Abutting streets and other rights of way and/or easements. (g)Location of existing and proposed driveways and <br /> (c)The locations of all existing buildings and distance to lot lines, encroachments. <br /> (d)The locations of existing and proposed septic tanks and wells. (h) WITH DOTTED LINES THE PROPOSED MOBILEHOME. <br /> (e) Location of minimum sewage disposal area for septic tanks and <br /> leach lines. <br /> Ball Point Onlyf�SS0�'l <br /> } <br /> i. <br /> 1" <br /> f <br /> -i- <br /> ,.. <br /> -i- <br /> . <br /> l '•' { <br /> F , <br /> ..:..r_.�. .. .. �.. / - - <br /> f <br /> . . . . . . . . . . . <br /> I <br /> :. <br /> . y <br /> . - - - <br /> i <br /> I .....r..,.., A _ - <br /> : <br /> -i••j--i- <br /> i <br /> v <br /> _ - - <br /> TTT7 <br /> ........... <br /> NOTE: <br /> UPON APP�OAOF THE PLANNI�GDARTME��HLTH DISTRICT AND PUBLIC WORKS.; i ''i'._..a_ <br /> A MQBILEHT U3' PERMIT E SECUOM THE BUILDING INSPECTOR. Approx Scale 5 <br /> j APPLICANT CERTIFIES THAT THE PROPERTY FOR WHICH THIS APPROVAL IS SOUGHT IS AS DESCRIBED <br /> ABOVE,AND THAT ALL EXISTING STRUCTURES ON THE PROPERTY ARE SHOWN ON THE ABOVE PLOT PLAN. <br /> t <br /> k Date ( �" - -- Applicant's Signature— <br /> PLANNING DEPARTMENT PUBLIC WORKS DEPARTMEN S.J. LOCAL HEALTH !STRICT <br /> 0"-ft "- 1810-E.-HaaeltonTAve '�"" "�—1810 E'Hazelton"Ave � �`Environmentai-Health pivtsivn -=•-" °"" "` <br /> 1601 E- Hazelton Ave. <br /> I: Property meets zoning requirements. 1. Proposal approved subject to: 1, Proposal approved subject to: <br /> for both use and construction. A. Encroachment Permit required ❑ A. Obtaining sanitation permit <br /> Yesj No❑ Zone for _ ! � �Fd—' B. Obtain well/pump permit ❑ <br /> Special Conditions B. Property line barrier ❑ C. Changes Noted ❑ <br /> A. .Bedroom Tax ❑ established as shown 2. Proposal Denied ❑ <br /> B. F€oodway ❑ C. Surface drainage established ❑ 3. RemaA rk s � ` L�a <br /> C. Flood Fringe ❑ as show I�W`"O^ ;�_� <br /> I). Noise Impact 2. Remarks '0 <br /> # 2. Parcel Ma No. Date Ry <br /> 3. R marks` �_ E'% €)ate ZE3y <br /> k� 1,1,00 )( ONTRO1, � <br /> Dat422 y L ' Dat,• 13y — •Planning 6(1/81) <br /> l <br /> . a <br />