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APPLICATION Applicant's Name alef ✓ L/aApt46�'� ���l�J�� 7�Y' Assessor's PParrccell No. <br /> for - V C factor ED Authorized Agent / ^ book <br /> APPROVAL AM �/A 1! 1* S I�nr�Gy7/ r/3'/�J`�r ) ( i+/�` page — <br /> l0 for (.11ty � phone - parcel <br /> CONSTRUCTION owner'sKame -4 k -P�majel-t hril - Subd. —__— <br /> In Address jt Ci <br /> Son Joaquin County - unitn <br /> 4 r City Dho ---- block x ---_ )'- <br /> Precise location d property / -' _ - lot 0 _ <br /> Yes No <br /> sewers - <br /> Strycture address —_ water system <br /> Proposed use of structure(s) drainage system <br /> DRAW O a of minimum sewage disposal area for septic tank and tach lines <br /> (a)The lot or parcel involved,showing shape&dimensi ;(glees, <br /> a on or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting streets and other rlQht-d-way and/or ease is ation of existing and proposed driveways and encroachments <br /> (c)The locations of all existing building and distance d lot lines with the crown shown <br /> (d)The locations of existing and proposed septic b and wells (i)WW DOTTED LINES,T}iE PROPOSED STRUCTURE or ADDITION <br /> L ./^\\ <br /> WW <br /> .. 9 N , <br /> - -fie <br /> I <br /> A <br /> 1- _ ..... i ADyeoa Scale 1 - <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 /> ,t / ) <br /> ate j;-,Id r� Applicant's Signature <br /> OP'LANNING DIV. 1810 E•Hazelton Avenue •PUBLIC WORKS DEPT, 1810 E.Hazelton Avg! AL HEALTH DISTRICT <br /> ,r- .Property meets zoning reduirem nts for both T.PROPOSAL APPROVED SUBJECT TO:•/ E"ONMENTAL HEALTH DIVISION <br /> use and c tion A. Encroachment Permit required ,/� 1601 E.Hazelton Avenue <br /> Yes No Zone B. Surface drainage established as shown ED 1.PROPOSAL APPROVED SUBJECT TO: <br /> '.ySPEC1AL CONDITIONS C. Fees I A.Obtaining sanitation permit <br /> A•School district tee r Cj a.Connection Fee ED B.Obtain well/pump permit <br /> B. Floodway as shown c::] b.Buy-in-feg LED C.Change noted , l <br /> C.Flood fringe (D 2.REMARKS - _ 2.PROPOSAL DENIED <br /> D.Noise impact Q 3.REMARKS <br /> ni J.PARCEL MAP N0._ --- ---'- <br /> date by <br /> 4.RE K date c by <br /> _ FLOOD CONTROL: date___ <br /> date by '® .—a 'Nea ++ reiea <br />