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1: II w <br /> A Plan Application <br /> "AN.,JOAOUIN COUNTY DEPARTMENT QF PL.A.NNING,AND BUILDING INSPECTION <br /> a�J A.P.N. <br /> wner's Name l Subd.name <br /> Address 3 map a <br /> CityZlp phon� �'S630 bl/lot+r <br /> PPI icant's Name II Census Tr_ <br /> Contractor C1 Owner Setback: <br /> Address. front <br /> a <br /> City ZIP phone left <br /> right <br /> ecise location of property • rear <br /> Yes No <br /> a� n sewers <br /> 4ucture address. J ,� __�_?• �.rf.�1�1W�e -3 r^1�• water system <br /> oposed use of structure(s)—- k _ FJO-K1�WP�,,� � _ _ drainage system_[) 0 <br /> DRAW - ---_ (e) Location of minimum sewage disposal area for septic tank and leach lines <br /> (a) The lot or parcel involved, showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of-way and/or easements (g) Location of existing and proposed driveways and encroachments <br /> (c) The locations of all existing building and distances to lot lines (h) levees, with the crown shown ' <br /> (d) The locations of existing and proposed septic tanks and wells (i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> r ' <br /> .......... <br /> NL orth.5 <br /> i , <br /> A. -- <br /> SIL <br /> A.p �A <br /> �.. <br /> PFb1SEDt� <br /> S <br /> J�8 S3 u,.. <br /> s-- <br /> S[D <br /> IN- <br /> a - <br /> 3 <br /> i. - _, ..� r•+-ti—}-. I t'�' ...._._...-..mss_" j } � -T-. _ _., ... .. .. ... .. ..a <br /> 1N <br /> 7 � _ <br /> _.... ... <br /> -. _ .. <br /> t I L7--- <br /> 7 <br /> 7-' - .... _ <br /> 17 <br /> i To <br /> - .. - 1 07' Su�L,� <br /> _._ .., _ 1 .. ^r <br /> licant certifies that the property for which the APPROVA:I_ is_so•4ht. is dcs-rib-3 as at,ove-and that-ail existing str ct -res <br /> //°/n the property are <br /> - 'vn oh-the abovve Olot'plan. <br /> . •• pp ants Egnature <br /> LANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> Property meets zoning requirements for both I. PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction ii A. Encroachment Permit required 0 1601 E. Hazelton Avenue <br /> Yes 0 No 0 Zone I; B. Surface drainage established as shown 0 1. PROPOSAL APPROVED SUBJECT TO: <br /> SPECIAL CONDITIONS ii C. Fees A. Obtaining sanitation permit 0 <br /> A. School district fee 0 •a. Connection Fee 0 B. Obtain well/pump permit 0 <br /> B. Floodway as shown 0 b. Buy-in-fee. 0 C. Change noted <br /> C. Flood fringe II 0 <br /> � 2. REMARKS 2. PROPOSAL DENIED 0 <br /> D• Noise impact <br /> PARCECMAP NO. �': a 3. REMARKS <br /> REMARKS date by- <br /> date by <br /> FLOOD CONTROL: dale <br /> date by by ® SLOG. INSP. t4 15/83 <br /> at Plan Valid Until <br /> li <br />