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APPLICATION" Applicant's Name _. ��.„..-.� /„. .w,._. ' � Assessor's-Parr,el'No, <br /> I Con r <br /> r. <br /> 'elfor I t tGfrif �nri2efl.A�,f:n - r 'boo - <br /> =APPROVAL <br /> k <br /> - <br /> f City t y__-_-- parcel[-,. <br /> 4t <br /> CONSTRUCTION owner's Name �z subd <br /> In Address <br /> - -- ---- unit u <br /> Son Joaquin County City �, <br /> phone w,block.x _. <br /> ' Precise location of property <br /> lot# <br /> on Yes N, <br /> sewers <br /> Structure address water system (� <br /> Proposed use of structure(s) drainage system�;L.I <br /> DRAW (e) Location of minimum sewage.disposal area for septic tank And,leach Eines <br /> (a) The lot or parcel involved, showing shape &dimensions (f) Irrigation of drainages ditches, waterways and drainage ponding areas <br /> } (b) Abutting streets and other fight-of-way and;or easements (g) Loc at ton of'oxisting and proposed driveways and encroachments <br /> (c) The locations of all existingbuilding and distances to lot.l.ines (h) Leveei, with the crown shown <br /> (d)'The locations of existing and proposed septic tanks and wells (i) WITH DOTTED LINES, THE,PROPOSED STRUCTURE or AAD ION <br /> or <br /> 13x1! Point Pm Grip <br /> s '71 <br /> , <br /> a <br /> Approxi Scsk I I <br /> Applicant certifies that the property for which the APPROVAL is ;Wijpht is d�scriheef as above and that all existing structures„.an the property are <br /> pfibvrri on the soave Nlv pian- 4 _ <br /> Bate <br /> Applicant's Signatwe <br /> : PLANNING DEPT. 1810 E. Hazelton Avenue . PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> -1. Property meets zoning requirements for both 1. PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required_--__ w 1601 E. Hazelton Avenue <br /> i Yes � -No ;�� Zone— _— W B. Surface drainage established as shown �� 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit <br /> A. School district fee _ a. Connection Fee ( B, Obtain wellipump permit.______-, _ <br /> i B. Floodway as shown_'_.. f: b. Buy-in-fee Change noted_ <br /> C. Flood fringe I 2', REMARKS ” 2. PROPOSAL DENIED [� <br /> D. Noise impact 3. REMARKS <br /> 3. PARCEL MAP NO. — �.--- <br /> 4_ REMARKS date__. _by <br /> date-, -----by _ -- <br /> r ` r . __— FLOOD CONTROL: dale <br /> r. date . ,f ._ ,--:"7 _ .-._...__ ...._ hy, .- - fli BLDG. tNSR, T_4.,3,791. <br />