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SITE PLAN <br /> ft <br /> hD� <br /> 1 <br /> C57 ~ <br /> JE€i' t ou r*� <br /> VICINITY MAP NOTES <br /> � r 1►t C� <br /> Owner's Name ��a-1:�DNbt St.l( posed Use T a.Le-ro Assessor's Parc <br /> Address 0- r , 1 ter•— - — Book <br /> ge <br /> City �d..a-►alQ e-,�_ Pl1on 47� e6Q�� —------- Pa <br /> -_ _---.� Parcel <br /> s Property Address ------ <br /> Signature__ ------��� <br /> PLANNING DIVISION PUBLIC WORKS DEPARTMENT S.J.LOCAL HEALTH DfSTRICT <br /> l 1610 E Hatenon Ave 1610 E.Harallon Ave. Ennronmental Health D—von <br /> 1 1601 E Hazelton Ave <br /> 1. Property mee4 I.raftK requirements. 1. Proposal approved soble[t to: 1. Propusal apprnvrd subject to <br /> fns both and construction. A. En[tilehment Permicuired --G� A, Obtainana sanitarian Permit <br /> aYe+ Nu❑ Zone A^ for trJ - �- ❑ B. Obtain well pump permit <br /> Special CnndiLons B. Property line barrier O C.Changes Noted -.- <br /> A Rrdroom Tax 0 established as shown 2. Proposal 11emrd <br /> R. Fl—d-ay ❑ C. Surrare drainsKe eslabliahed ❑ 3. Remarks <br /> C. Flood F"rmae ❑ as shown, A'I � ,f <br /> n 11 Nai.r Impact 21 Remarks r ^ ` 1-1 <br /> --- �+'~~ <br /> 2. Parcel Map <br /> 3. Remark 17otr - - He <br /> Ft.n11ICU\TRI$I. FILE NO.�.. 3 . <br /> 11sts L.'f�y �1_ u�i��. tic <br /> 0.S /� <br />