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7CAApplicant's Name y/._ .. Assessor's Paribi No., <br /> ' <br /> Cordrae for f7 Authorized ARI nt <br /> Address_! book_is .'). <br /> -= pageCityphone 19 <br /> COwner'a Name `/ parcel <br /> 1C J <br /> SIM. C j <br /> ! Address_ <br /> $cn Joaquin County - unit <br /> City _. phone <br /> block a_ <br /> else location at property_ I,_ _ r+'� 1 I ,Tr ,t,,.•.r ,I.,rrr' nal <br /> lot a <br /> — Yea <br /> ructure address_" !�! '.tnY Rn\C'r -- sewers CJ <br /> ., water <br /> ti .' � system_ <br /> oosed use of structure(s) 11Z . rdrainage system <br /> Ig <br /> /•„ <br /> RAW le) Lor:ation of mi,imum sewage disposal area for septic lank and leach line's <br /> ,r) The tot or parcel Involved, showing shape B dimensions (f) Irrigation or dr Onages ditches, waterways and drainage ponding areas <br /> s) Abutting streets and other right-of-way and/or easements (g) Location of ex,sling and proposed driveways and encroachments <br /> :) The locativzs of all existing building and distances to lot lines (h) Levees, with Y'w crown shown <br /> 3 Ttx Irxatkms of existing and proposed septic tanks and wells (1) WITH OOTTEC LINES,THE PROPOSED STRUCTURE or AODITION A <br /> T. <br /> Pallas Fin 1Q�t i I <br /> I . <br /> r <br /> , <br /> ry, ` f of it \ �, I. r"L� n CJ a � I <br /> .V <br /> plicahl fertifies that IN pioperty for whloh the 0kMkQ, it eought Is described as above and that all existing structures on the property we <br /> own M the above plot BIAS. <br />