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APPLICATION <br />for <br />APPROVAL <br />for <br />CONSTRUCTION <br />in <br />San Joaquin County <br />Precise location of property <br />Applicant's Name <br />XContractdrr / ] ) " Authorized Agent <br />Address y -7-74 r A) CIL S. Z.V. <br />City _ i. c. -,t> I CA phone 4LR-aili <br />Owner's Name WPr 4 -blies, AVC) —T] IK`Wck <br />Address <br />City. 'A'cjG '<'% � phone <br />.. . i(„ T'G/t C-�— /U Ib P10 It W. M,4rL.,.. <br />Structure address I ''7' <br />Prnnnsed use of ttnmture(s) 5,ti S /c ;1,,,, <br />DRAW <br />(a) The lot or parcel involved, showing shape & dimensions <br />(b) Abutting streets and other right-of-way and/or easements <br />(c) The locations of all existing building and distances to lot lines <br />(d) The locations of existing anp-proposed septic tanks and wells <br />Assessor's Parcel No. <br />book <br />page <br />parcel <br />Subd. <br />unit k <br />block u <br />Iot a <br />Yes No <br />sewers 0 gI <br />water system Q [::] <br />drainage system _ [A L-1 <br />(e) location of minimum sewage disposal area for septic tank and leach lines <br />(f) Irrigation or drainages ditches, waterways and drainage ponding areas <br />(g) Location of existing and proposed driveways and encroachments <br />(h) Levees, with the crown shown <br />Applicant certifies that the property for which the APPROVAL is sought is described as above and that all <br />shown on the above plot plan. / <br />Date Applicant's Sienahne <br />• PLANNING DEPT. 1810 E. <br />Hazelton Avenue <br />I. Property meets zoning requirements <br />for both <br />use and construction <br />Yes ® No 0 Zone <br />d� _ <br />2. SPECIAL CONDITIONS <br />Q, <br />A. School district fee <br />B. Floodway as shown <br />Q <br />C. Flood fringe <br />D• Noise impact <br />3. PARCEL M/� <br />N0. <br />date %7� by _ <br />4. REMARKS ...1 <br />4W Oy-46r <br />• PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. <br />I. PROPOSAL APPROVED SUBJECT TO: <br />A. Encroachment Permit required <br />— <br />B. Surface drainage established as shown <br />C. Fees <br />a. Connection Fee <br />b. Buy -in -fee Q <br />2.REMARKS <br />date by <br />FLOOD CONTROL: date <br />by <br />NL orth-� <br />Approx; Scale I <br />isting structures on the property are <br />1 LOCAL HEALTH DISTRICT <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E. Hazelton Avenue <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Obtaining sanitation permit <br />Q, <br />B. Obtain well/pump permit— <br />ermit <br />C. <br />C. Change noted <br />2. PROPOSAL DENIED <br />3. REMARKS <br />date %7� by _ <br />E BLDG. INSP. 14(3/99) <br />