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�/0 9 91i <br /> Assessor's Parcel No..APPLICATION Applicant's Name ���� 0. F - <br /> {Or { }.Conirnac las []Authorized Agent book yx,,��� i <br /> Address <br /> APPROVAL <br /> for City C�s.. phoneAgN parcel <br /> CONSTRUCTION Owner's Name � � - Subd-� 3 4t � <br /> -.T <br /> in Address - unit# ZO <br />' Son Joaquin Count a Z�1 _ /U' <br /> Y <br /> ' r Cit phone block# - _ . <br /> Precise location of property z <br /> tat# <br /> Yes No i <br /> sewers �} <br /> Structure address water system <br /> F t drainage system <br /> Proposed use of structure(s)�k+r"� <br /> . DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (al The lot or parcel involved,showing shape E dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas .y. <br /> (b) Abutting 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 Sines (h)levees,with the crown Shown <br /> f (d)The locations of existing and proposed septic tanks and wells (i)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> j Hall{bmC Yea only <br /> Ar <br /> �1 <br /> � _ <br /> � I <br /> Zl- <br /> - <br /> w <br /> lie <br /> Uj <br /> • <br /> I <br /> .. .. <br /> A.ppticant rtifles that the property for which the APPROVAL is sought is describetl as above and t tall existing structures on the property are ; <br /> Shown <br /> f the above Plol plan. <br /> r _ __ <br /> Date ��'��— - Applicant's Signature - <br /> .PLANNING DIV. 1810 E.Hazelton Avenue . PUBLIC WORKS DEPT. 1810 E.Hazelton v < LOCAL HEALTH DISTRICT <br /> M 1.Property meets zoning requirements for both I.PROPOSAL APPROVED SUBJECT T ,ENVIRONMENTAL HEALTH DIVISION <br /> use and con truction A, Encroachment Permli required <br /> Lpe 1601 E.Hazelton Avenue <br /> F - Yes I Na � Zane_:-'✓_ -�J B. Surface drainage established as shown I.PROPOSAL APPROVED SUBJECT T0: <br /> 4 2.SPECIAL CONDITIONS � C. Fees A.Obtaining sanitation permit- <br /> A. <br /> A.School district fee —L-T/ a. Connection Fee © H.Obtain well/pump permit CX I GI <br /> - <br /> 1 ,• B. Floodway as shown b. Buy-in. E C.Change noted <br /> w C-Flood fringe —I� 2.REMAR 5 2,PROPOSAL DENIED <br /> + 0_Noise impact .fe--&��--vV>1 - <br /> 1 3.PARCEL MAP NO <br /> 3.REMARKS? / j -- <br /> I{ date 1by f' <br /> 4.REMARKS r -. <br /> date by <br /> _ FLOOD CONTROL: date �} p, r <br /> 1 -- date 7 f by�� by �I�-IV 7 is'�f �aLogr Sv i.aa IB/83 <br /> 1 F o f F. S%A'"T e� i <br /> f ._..�.._. . . <br /> ;. <br />