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Jew <br /> �. <br /> for <br /> i "APPROVAL` wddreea r t �So,_�..��, ;." (+M. `.., ' erlr <br /> for City..- �' ^ ohms tt.row iF° <br /> CONSTRUCTION owner's Name L 1 �1ac�r L��m �"=,�'?� - SUM. � <br /> in Address unit of „ 4 : <br /> San'Joaquin County CIty __phone., , block 1r. <br /> - <br /> rlote� <br /> precise location of property- f f Y" <br /> water system p <br /> SMrcttue address drainage system..p <br /> Proposed use of structures) <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach Ihtes <br /> (a) The lot or parcel Involved,showing shape b dimensions (f) irrigation or drainages ditches,waterways and drainage ponding areas , <br /> (b) Abutting streets and other right-of-way and/or easements (g)Uxatiorr of existing and proposed dFIveways and encroaclmrentii <br /> (c) The locations of all existing building and distawas ic tanks to lot arrd we, ii) WITH DMED I.I ES,THE PROPCdED STRUCTURE a ADDITION <br /> with 00 crown Mom <br /> (d) TM,iocatlals d existing-and proposed pt <br /> to <br /> H I <br /> AL <br /> � + - �., Vii. •-' <br /> - r <br /> t f ( ,. .1 <br /> 71 <br /> - J11iN� <br /> � 1 . . . <br /> :,.1:1 - -i- �_-„_y_ .. _.,J�« _ .i .. _ y--•.-s� -=,-t_. 111 m�• <br /> � r <br /> r <br /> , <br /> 4 <br /> 1 .. <br /> tA <br /> 7. <br /> -.-- j I i �- _' -i-” 1 k _�.. -.l_.•••_.1�.-f. l....� d , _t--^,. _ 'i__ 1 -` , -'-. .I, ., -. <br /> 111 <br /> 1 <br /> f <br /> 1 <br /> Applicant certifies that the property for which the APPROVAL is sought Is described as above and that all existing structures,on'the pro are <br /> shown on the above plot plan.,-. <br /> Date Ir I• Applicant's Signature <br /> • <br /> PLANNING'DEPT...1810 E. Hazelton Avenue = s PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> Mli—op-erty meets zoning requirements for both PROPOSAL APPROVED.SUbJECT T0: NVIRONMENTAL HEALTH DIVISION <br /> use and construction n / A..Encroachment Permit rewired 1601-E, Hazelton Avenue <br /> Yes Q( No (Q Zone . fT� B•'Surface',drainage established as shown Q L PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees. A. Otstaining sanitation permit <br /> A,School district fee Q a. Connection Fee_ Q 13, Obtain well/pump permit <br /> B. Floodway as shown © b. Buy-i -ee Q C. Change noted Q <br /> C. Flood fringe D 2. REMARKS ' S�►Atitlil ,2' PROPOSAL DENIED <br /> D.Noise impact f�� 1 c 4KEMARKS <br /> 3.PARCEL NO. date _�-�� by <br /> __YH_H� <br /> 4'REMARKS <br /> /1 0 FLOOD CONTROL: date_. <br /> NL <br /> !y QLD6. IN SP: -14 fV791 <br /> da"T C br - <br />