Laserfiche WebLink
APPLICATION <br />for <br />APPROVAL <br />for <br />CONSTRUCTION <br />in <br />San Joaquin County <br />Precise location of property <br />Structure address <br />Proposed use of structure(s) <br />r <br />Applicant's Name <br />C�j Contractor 0 Authorized Agent <br />Address <br />City <br />Owner's Name <br />Address <br />City <br />phone <br />phone <br />Assessor's Parcel No. <br />book <br />page <br />parcel <br />Subd. _ <br />unit # <br />DRAW <br />(e) Location of minimum sewage disposal area for septic tank and leach lines <br />(a) The lot or parcel involved, showing shape & dimensions <br />(f) Irrigation or drainages ditches, waterways and drainage ponding areas <br />(b) Abutting streets and other right-of-way and/or easements <br />block # <br />(c) The locations of all existing building and distances to lot lines <br />(h) Levees, with the crown shown <br />lot # <br />(I) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br />A. School district fee <br />F7 <br />Yes <br />No <br />sewers <br />O <br />O <br />water systems <br />3. PARCEL MAP NO. <br />0 <br />drainage system— <br />ystem_ <br />DRAW <br />(e) Location of minimum sewage disposal area for septic tank and leach lines <br />(a) The lot or parcel involved, showing shape & dimensions <br />(f) Irrigation or drainages ditches, waterways and drainage ponding areas <br />(b) Abutting streets and other right-of-way and/or easements <br />(g) Location of existing and proposed driveways and encroachments <br />(c) The locations of all existing building and distances to lot lines <br />(h) Levees, with the crown shown <br />(d) The locations of existing and proposed septic tanks and wells <br />(I) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br />Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br />shown on the above plot plan. <br />Date <br />• PLANNING DEPT. 1810 E. <br />Hazelton Avenue <br />1. Property meets zoning requirements <br />for both <br />use and construction <br />Yes 0 No 0 Zone <br />2. SPECIAL CONDITIONS <br />0 <br />A. School district fee <br />F7 <br />B. Floodway as shown <br />C. Flood fringe <br />D, Noise impact <br />3. PARCEL MAP NO. <br />4.REMARKS <br />by <br />Apfnicant's Signature <br />• PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. <br />I. PROPOSAL APPROVED SUBJECT TO: <br />A. Encroachment Permit required <br />B. Surface drainage established as shown D <br />C. Fees <br />a. Connection Fee— <br />b. <br />ee b. Buy -in -fee 0 <br />2. REMARKS <br />date by <br />FLOOD CONTROL: date <br />by <br />LOCAL HEALTH DISTRICT <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E. Hazelton Avenue <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Obtaining sanitation permit <br />0 <br />B. Obtain well/pump permit <br />F7 <br />C. Change noted <br />2. PROPOSAL DENIED <br />3.REMARKS <br />date by <br />9 BLDG. INSP. 14(3/79) <br />