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Son Joaquin County City «�! phone <br /> block a <br /> Precise location of proper lot a <br /> Yes NO <br /> sewers-Q � <br /> 3tructwe FJdress ! water system <br /> dosed use of structure(s) > /!" /{ i' 1 ! drainage system,.,_ <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 /> its? AbuttinR 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, svith the crown shown <br /> � <br /> Tom•-'-�. `r r <br /> d locations of existing proposed septic tanks an wells i WITH DOTTEDINES,THE PROPOiED STRUCTURE or ADDITION <br /> �"$d1=�tpil�,.�Got►!_ _ � � �_ �w _.. �.. 1 ! T. j..��':' <br /> IF <br /> I , <br /> `_ ' i �� � 'r � � .:_til �--• r. Y�. {. _ ---+9 ��+-- r � _......� �._ t , <br /> i <br /> { <br /> � I 1 <br /> _ r <br /> I «.i <br /> 1,. <br /> 1 <br /> y <br /> i 1 I <br /> - <br /> I I _ a.- <br /> jj <br /> 1 f <br /> 1 <br /> rA <br /> i-_v' ice.-��s,r I F, i ._r___,.-. .. -�•_+-_ <br /> —.`"'�--1-"k -f-.. 'S' y'T'l ., i .."�`"I Y �. `_''^'_l.. tom•--_"'—'� _'?'_ , <br /> r I - .. <br /> , <br /> Y <br /> I_ ' _ _ .... <br /> IV <br /> .'T' .>. •...Y 4�4 ; - �^"�^{^-+ 1. �.....�.�.. _ ,r. 1... .I � _y ,—.sem...-F s._ <br /> _.. 1 . <br /> r <br /> : y <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 plat plan. �+ f <br /> Date Applicant's Signature :. <br /> I, <br /> • PLANNING DEPT. 1810 E. Hazelton Avenue Pr • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> I.Property meets zoning requirements for both T.PROPOSAL.APPROVED SUBJECT TO- 'ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required_ Q 1601 E. Hazelton Avenue <br /> Yes Q No Q Zone 4e- B. Surface drainae established as shown Q 1. PROPOSAL APPROVED SUBJECT T0: <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit ` <br /> A. School district fee © a. Connection Fee_ Q B. Obtain well/pump permit <br /> B, Floodway as shown © b. Buy-in-fee__„____ Q C.Change noted Q <br /> C. Flood fringe Q 2. REMARKS!, ;,;'!,'_ #: _ } 2. PROPOSAL DENIED <br />