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APPLICA'FION Applicant's No �;, �_ -4, S - Asaasidr's Pacal No. <br /> for tom, (.�) Conlractor El Authorizer Agent book_73.�___�. <br /> APPROVAL Address I t �ZG page 2'C-C!S <br /> I for City_�($A 4 phonet�-�� <br /> ( I <br /> NSTRUCTION owner's Name <br /> in Address. -. _., <br /> San Joaquin County _._ .._ _...__ (bd. <br /> nl sCityphone ock a <br /> Precise location of property f a _ <br /> Yes No <br /> 7 sewers CI t?�' <br /> Structure address_ Z- � I A, — "X'R water system—ED ML <br /> Proposed use of structure(s) Mi A- r,rjr <1'kk drainage system_0 LkL <br /> DRAW (e) Location if minimum sewage disposal area for septic lank and leach lines <br /> la) The lot or parcel involved, showing shape &dimensions (1) Irrigation or drainages ditches, waterways and drainage ponding areas <br /> (b) Abutting streets and Other righPof-way and/or easements (g) Location if existing and proposed driveways and encroachments <br /> (c) The locations of all existing building and distances to lot lines (h) Levees, v ith the crown shown <br /> sling and proposed ED LES, THE //�\ <br /> •- I- ... ..(q WITH DOT NL pth-� <br /> ` <br /> d locations d existing septic tanks and wells INHE PROPSTRUCTURE or ADDITION <br /> Item <br /> 1 � I I <br /> r- 1 <br /> I <br /> � <br /> ���,'.__ <br /> r —� <br /> skiI <br /> T" <br /> _T tI <br /> .. .r - _ la. <br /> Jvr <br /> jo <br /> I <br /> i <br /> I <br /> _, <br /> I <br /> I <br /> I <br /> Applicant certifies that the property for-which the APPROVAL is sought la described as above and that all existing structures on the property are <br /> shown on the above nlol plan, - . <br />