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APF%ICQ64"' �APplicant's Name 7"IA-74 JCi&;1 le?c,e e, Assessor's Parcel No. <br /> forL/7 Contra for•/ AuthorizedPgent book 07 <br /> '�� <br /> APPROVAL Address��yr 1,t) L4GKl�L°u �/1/ page 1 41) <br /> for city 111,11 1 phone 3wi - I'i>I <br /> parcel L <br /> CONSTRUCTION Owner's Name SR SimWIL& subd. <br /> In Address <br /> - unit n <br /> Son Joaquin County city phone <br /> block n <br /> Precise location of property _ lot u <br /> II Yes No <br /> Structure address 15,1 Yp P Mi S q D Y'' sewers 0 C_ <br /> water systems_O C' <br /> Proposed use of structure(s) `�)afzch nu56 nf�(iCeb drainage system—O L'. <br /> DRAW (e) Location of minimum sewage disposal area for septic tank and leach lines <br /> (a) The lot or parcel involved, showingshape 8.dimensions (f) Itrigation or drainages ditches, waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of-way and/or easements (g).Loeation of existing and pr posed driveways and encroachments <br /> (c) The locations of all existing building and d Lances to lot lines --(h) Levees, with the crown shXIL <br /> (d) The locations of existing..and proposed septic tanks and wells (i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> 8dl Fftbipwr Pen .F <br /> T <br /> - <br /> om <br /> ++. <br /> � ' #r 74k - <br /> T <br /> `X <br /> I.1 <br /> r 4 — ��- <br /> .... ( - <br /> i <br /> - 1 1 4 i ,. <br /> : y <br /> s••w 175 <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. 1 11 <br /> Date q - �; � Applicant's Signature ASL & ) !0--i-",--,� <br /> •PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> I. Property meets zoning requirements for both 1. PROPOSAL APPROVED SUBJECTT¢ ENVIRONMENTAL HEALTH DIVISION <br /> . <br /> use and construction ,f AA���� A. Encroachment Permit required �r 1661 E. Hazelton Avenue <br /> Yes 0 &A - 4No = Zone-&A-- B. Surface drainage established as shown 0 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit 0 <br /> ' A. School district fee a. Connection Fee B. Obtain well/pump permit = <br /> B. Floodway as shown 0 b. Buy-in. a C. Change noted <br /> C. Flood fringe 2. RE RKS 65 . PROPOSAL DENIED <br /> D. Noise impact -, �l ,- <br /> 3. PARCEL MAP NO- <br /> a ,5 3. REMARKS <br /> 4. REMARKS51411,11'r Q fit/{ date 9' Y <br /> � <br /> G!D d/✓ FLOOD CONTROL: date <br /> date 4'-' ��) by by ® BLDG. INSP. 14 (3/83 <br />