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.-AMLICATION Applicant's Name r `' "/�%r /r> /<_ Assessor's P for Contractor Authorized Agent book APPROVAL Address % J' %,:)rcg Y -r page for City _L r)D, phone '`y - '�/'- parcel CONSTRUCTION Owner's Name 72,Q ,q Subd. in - Address /9., i San ti Joaquin County . _ unitu_� 9 r City � '�V r phone �3/'�!% ` 1 _ block u — Precise location of property '� P "�.''</.d Y C'i.1 r� i �1'•�y/:r/:»i/ )IOUIS',f'.Ul E lot 9 7 '456 f A" ( � d/} 1 _ n i / Yes No Tzr7'E'—.ZJ-T�r sewers Structure address /�/ /I/ EF,v c'/E w n� . ii•. _ � � � � water system 'roposed use of structure(s) �.Lr - yN ,/ drainage system_[ 0 DRAW (e) Location of minimum sewage disposal area for septic tank and leach lines _ (a) The lot or parcel involved, showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage ponding areas .� (b) Abutting streets and other right-of-way and/or easements (g) Location of existing and proposed driveways and encroachments ` (c) The locations of all existing building and distances to lot lines (h) Levees, with the crown shown (d) The locations of existing and proposed septic tanks and wells (i) WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION I : 1 North PA L It ! I I I I I - I I I I I . �- I- _ I I I 1 11 II : - I I I : I i I _ ' L : I _ -.. _ ,. . .. .--_ ._.....i {7 rl — IV I I i_.._. Y _ _ I I Lii 1+1 1 i i TII -- _ � I Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are shown on the above plot plan. Date y— Z 91— �d Applicant's Signature r�K • PLANNING DEPT. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT 1. Property meets zoning requirements for both I.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION use and construction r. A. Encroachment Permit required &�' 1601 E. Hazelton Avenue Yes F-1 No = Zone - -•J B. Surface drainage established as show 1. PROPOSAL APPROVED SUBJECT TO: 2. SPECIAL CONDITIONS ' C. Fees I A. Obtaining sanitation permit A.School district fee a. Connection Fee [yj B. Obtain well/pump permit F] B. Floodway as shown 0 b. Buy-in-fee C. Change noted 0 C. Flood fringe O 2. REMARKS 1 '�^ 2. PROPOSAL DENIED D. Noise Impact- 3. mpact O 3. REMARKS 3. PARCEL MAP NO. 4,REMARKS date by L FLOOD CONTROL: date date by date by by 0 BLDG. INSP. 14 (9.79)