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■ ... tlRlrfess.- ,-1 umtw I: <br /> Son Joaquin County City phone block 0 <br /> Precise location of Property lot <br /> Yea : No <br /> sewers.._ <br /> Structwe:.adress water system Q 0 <br /> � drainage system..,_-Q ill <br /> ' posed use of structuress} <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 /> (b) Abutting streets and other right-of-way and/or easements (g) Location of existing and proposed driveways and encroachments <br /> (c) TW locations of all existing building and distances to lot lines (h) Levees, with the crown shown <br /> (d) The locatkm of existing and proposed septic tanks and wells (i) WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION � <br /> - <br /> or <br /> th <br /> F <br /> -—T t <br /> : <br /> + ` <br /> _ <br /> A� ' <br /> .. , tom+" ! <br /> 1. <br /> _h i. H _ I 1 <br /> ` I.. <br /> -r-T,� -�t_1 1 � <br /> Vi <br /> k _ •1 <br /> 1 i �1 - <br /> H—r <br /> F - I <br /> _.t ! I I E _F..-..... �.._._� ...._...I _�.- r I_.r - <br /> T_ i I t ( 1 <br /> 'wr1,.*rw r <br /> : <br /> y <br /> r <br /> i. <br /> 4 - r <br /> 1 I <br /> _,. <br /> _r�F_ <br /> �w� t <br /> - <br /> _. ,� _ <br /> ! <br /> 1 <br /> i <br /> .. .E _.--,._ ;.. .. <br /> j <br /> t I <br /> T t , <br /> 1 <br /> 1 __ w_�..• __ _.._. a-__.�._.. _��. _...,. Ayxror. Sale, { -} <br /> pplicant certifies that the property for which the APPROVAL is sought is descrNd as above and that alt-existing structures on-the property are <br /> kown onithe ve p t plan. r', <br /> }� �l �/ <br /> ate <br /> � a Applicant's Signature :, ;�f.-1,.t /f-� / �`-,�"'� <br /> PLANNING DEPT. 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 SUBJECT TO---' ENVIRONMENTAL HEALTH DIVISION <br /> use a onstruction A. Encroachment Permit required_ ,r= m 1601 E. Hazelton Avenue <br /> Yes �,No 0 � 7M 76115 B. Surface drainage established as shown Q 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIALCONDITIONS C. Fees A.Obtaining sanitation permit <br /> A. School district fee a. Connection Fee_ © B. Obtain welt/pump permit <br /> 8. Ffoodway as shown b. Buy-ir e C.Change noted [] <br /> C. Flood fringe-... 7-1 2. REMARKS f'r � e 2. PROPOSAL DENIED <br />