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APPLICATION Applicant's Name Assessor's Parcel No. <br /> r C1 Contractor C:]Authorized Agent be" `1_ <br /> APPROVAL Address <br /> page e? <br /> for City phone /-j.1=Z-2_4 P", <br /> CONSTRUCTION <br /> Dvimr*s Name LI A Subd. <br /> in Address 17411 Ac i(- -Tcv G IL D L unit 0 <br /> San Joaquin County C,,y LL:- 4j phone block 0 <br /> Precise location of property fC�o Lnjiv /L I, lot 9 <br /> Yes No <br /> sewers—© I-:, <br /> Shrucluire address • water system—[::I J::] <br /> Proposed use of structure(s). drainage system_...CD F', <br /> DRAW (e)Location of minimum Sewage dispo'Wares for septic tank and leach lines <br /> (a)The lot or parcel involved,showing shape&dimensions (f) Irrigation or drainage tifthes,watenArli"drainage pending areas <br /> (b) Abutting streets and other right-of-way arid/or easements (g)Location of existing drainages <br /> proposed driveway&and encroachments <br /> lc)The locations of all existing building and distances to lot lines (h)Levees, <br /> with the crown shown ' ..,"I <br /> (d)The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOS STRUCTURE or ADDITION <br /> ftu Polar PIM am* <br /> t <br /> . . ....... <br /> A <br /> lon.(4;A <br /> lit 7�7 <br /> 7; <br /> e. <br /> A <br /> It <br /> r <br /> -Lae <br /> _7 <br /> —7� <br /> 1+ <br /> 1 1 1 A <br /> T_= <br /> 7- <br /> -.-r <br /> j -- <br /> + <br /> 4- <br /> -4 <br /> F <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. <br /> Date Applicant's Signal,,. <br /> •PLANNING DIV. 1810 E.Hazelton Avenue PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. LOCAL HEALTH DISTRICT <br /> L Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT TO- ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit reqruir;;b_4_iS1e)1_=I 1601 E.Hateltan Avenue <br /> Yes0 No —I Zone B. Surface drainage established as shown 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C, Fees A.Obtaining sanitation permit <br /> School district fee p a. Connection Fee_ p B.Obtain wall/pump permit <br /> B. F loodway as shown b. Buy" 'fee <br /> C.Change noted <br /> C.Flood fringe <br /> REMARKi 2.PROPOSAL DENIED <br /> 0.Noise Impact J1% -,. _C: 3.R MARKS <br /> 3.PARCEL MAP NO. date by <br /> 4.REMARKS <br /> A AA,j� FLOOD CONTROL.' date <br /> date' by !•k by 0 OL DO.IN SP. t 4, <br />