Laserfiche WebLink
APPLICATION <br />for <br />APPROVAL <br />for <br />CONSTRUCTION <br />in <br />San Joaquin County <br />Precise location of property <br />Applicant's Name <br />U Contractor i_-] Authorized Agent <br />Address /.S 5 S1 ;4 4U, <br />City phone -7' z/�� <br />Owner's Name 11 <br />Address <br />City - phone <br />Assessor's Parcel No. <br />book,)Cz. <br />page'--_7_�.y-' <,7 <br />i <br />parcel "' ,_S�� <br />Subd. <br />unit x _ <br />block u <br />lot a_ <br />Yes No <br />Structure <br />address i -j �%` "- <br />sewers <br />� <br />C] ,• <br />Yes No E-] Zone <br />.5 i2 <br />water system <br />0 <br />Proposed <br />use of structure(s)—o-41—drainage <br />i' <br />B. Floodway as shown <br />system _ <br />0 L�i <br />DRAW <br />D. Noise impact <br />(e) Location of minimum sewage disposal area for septic tank and leach lines <br />3. PARCEL MAP NO. <br />(a) The <br />lot or parcel involved, showing shape & dimensions <br />(f) Irrigation or drainages ditches., waterways and drainage ponding areas <br />(b) Abutting streets and other right-of-way and/or easements <br />(g) Location of existing and proposed driveways and encroachments <br />(c) The <br />locations of all existing building and distances to lot lines <br />(h) Levees, with the crown shown <br />(d) The <br />locations of existing and proposed septic tanks and wells <br />(i) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br />Approx, Scale I <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 d -S Applicant's Signature <br />• PLANNING DIV. 1810 E. <br />Hazelton Avenue <br />1. Property meets zoning requirements <br />for both <br />use and construction <br />Yes No E-] Zone <br />2. SPECIAL CONDITIONS <br />0 <br />A. School district fee <br />ED <br />B. Floodway as shown <br />0 <br />C. Flood fringe <br />^0 <br />D. Noise impact <br />3. PARCEL MAP NO. <br />4. REMARKS <br />by <br />• PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A; Encroachment Permit requiredE ITi <br />B. Surface drainage established as shown <br />C. Fees <br />a. Connection Fee <br />b. Buy -10 -fee <br />2. RE <br />MARK <br />S,�:.q <br />date v-- �� kz.=r� by <br />FLOOD CONTROL: date <br />by <br />r LOCAL HEALTH DISTRICT <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E. Hazelton Avenue <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Obtaining sanitation permit <br />0 <br />B. Obtain well/pump pt <br />� <br />C. Change noted A:ermin40 <br />2. PROPOSAL DENIE <br />^0 <br />3. REMARKS <br />date by <br />E) BLDG. INSP, <br />14 18/83 <br />