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J > — �. ... 'a«-si'+'4Yisdt�[lrrw'•a.�ow�µ.. s_�..„... <br /> E PlW�lan 'Application <br /> SANJ-OAQUIN COUNTY DEPARTMENT OF PLANNING ANO BUILDING.INSPECTION (P <br /> i Owner's Name_ L, IN 4y AI r 17 a-u i1 P� r -- - r <br /> Subd.na <br /> Address Jr 1�' E fl)Lf1L-If1 flh- map a <br /> J <br /> City-—_LS77tCI..1rnN G'— zip, ;.x .2/2— phone 31-L(u? bl/lot0 o <br /> Census Tr. � <br /> Applicant's Name <br /> Owner. - <br /> Setback: <br /> p Cattractor qq � -';`�, <br /> front 1 <br /> Address. <br /> ' left -_ <br /> ­ <br /> C ity Zip phone {,j� <br /> -- - � ---- right - <br /> t0 G Ga^[ <br /> Precise location d praproperty pig h at 11+ rtar sa, '•-., <br /> Yes No S ' <br /> rs <br /> Structure address F Z 9� v' ��= watersystem—p L-1, <br /> f3W E L C' G drainage system =`_ <br /> ` <br /> Proposed sax d structures) - <br /> TDRAW - (e)Location of minimum sewage disposal area for septic tank and leach lines r � <br /> Sal The lot or parcel involved,showing slurps 8 dimansioes (f)trrigalion or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of-way and/or easements (g Location M existing and proposed driveways and encroachments -E <br /> (c)The locations of all existing building end dlajances to lot linea (hf Levees,with the crown shown <br /> (d)The locations of existing and propelled sept tants and wells (1)WITH DOTTED LINES,THE.PROPOSED STRUCTURE or ADDITION Fes. <br /> 9 <br /> ' r.—North--i� <br /> 7. <br /> mi i <br /> 4-W <br /> ' IflT- <br /> - <br /> - <br /> 1 _ r <br /> l <br /> 3 <br /> _ -...y+.ii ._.._ <br /> l 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 /'/0 V _ R a r r Applicant's Signature -� - <br /> .PLANNING DIV. 1810 E.Hazelton Avenue a PUBLIC WORKS DEPT. 1818 E.Hazelton Ave. •LOCAL HEALkH DISTRICT r : <br /> .Propel rty meets zoning requirements fa both 1.PROPOSAL APPROVED SUBJECT. ENVIRONMENTAL HEALTH DIVISION <br /> ux and construction A. Encroschment.Permit required rlr - 1601 E.Hazelton Avenue <br /> •Yes L—G`/No Zone.,,,_.1 ,�� B.Surface drainage established as shown Q 1.PROPOSAL APPROVED S B1ECT O: <br /> 2,SPECIAL CONDITIONS C. Fees A.Obtaining sanitation mi ; <br /> A.School district tee a. Connection Fee [] B.Obtain well/pump permit -: - <br /> B. Floodway as shown CDb. Buy-irtr( C.Change noted O - -".:-- <br /> C.Flood fringe Q 2.REMAR -1Y �• 2.PROPOSAL DENIED <br /> D.Noise impact 5HIkIL 1 3.REMARKS <br /> i 3.PARCEL MAP NO. � t AVE <br /> 4.REMAR I `Z - - by date by . <br /> FLOOD CONTROL: date . <br /> date by nc. waP. ,. teras <br /> Valid Plot Plan ValUntil <br /> t <br /> i � k <br />