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r• <br /> 5 <br /> .$ Ian Application <br /> JOAQUIN COUNTY DEPARTMENT OF.PLANNING AND BUILDING INSPECTION <br />( nmer's Name <br /> a Subd.name t' <br /> Address <br /> mama f <br /> p a <br /> City Zip phone bl/lot K <br /> ,pplicant's Name ^L�C/,/d J/ Census Tr. \\ <br /> []Contractor (]owner Setback: V <br /> Address a n,.r Z 4'e, front 'O <br /> ' .City- e- ZIP <br /> '1 phone-7 5 left <br /> —"-- right <br /> 'ecise location of property r 6 <br /> rear <br /> Yes No <br /> ructure address '�f�Il % p/'4 2 � 1 ��� sewers O (] <br /> water system_L--I C:] <br /> 'eposed use of structure(s) J.,!- f � drainage system_ O <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot or parcel involved,showing shape i dimensions (f)Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of way and/or easements (g)Location of existing and proposed driveways and encroachments <br /> (c)The locations of all existing building and distances to lot lines (h)Levees,with the crown shown <br /> (d)The locations of existing and proposed septic tanks and wells (i)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> W l Oimt Pea Oe3/. <br /> r <br /> V .'� <br /> 4 ' <br /> dicant certifies that the properly;for 4i6 the APPROVAL is sought is described as above and that all existing structures on the property are <br /> wn on the above plot plan." <br /> \, <br /> Applicant's Signatures <br /> fl <br />` 'LANNING DIV. 1810 E.Hazelton Avenue •PU8LIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> Property meets zoning requirements for both .PROPOSAL APPROVED SUBJECT T01 ENVIPONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required_;i 1601 E.Hazelton Avenue <br /> Yea �/I o Zone B. Waco drainage established as shown 1.PROPOSAL APPROVED SUBJECT TO: <br /> SPECMSL CONDITIONSC. Fees A.Obtaining sanitation permit <br /> A.School district fee a. Connection Fee i <br /> Ob <br /> B. tan well/pump(—� Pu D Permit <br /> B. Floodway as shown . <br /> e b. -re C.Change noted <br /> C.Flood fringe L� 2.REMAR C <br /> D.Noise impact _ y,PROPOSAL DENIED C <br /> � � <br /> PARCEL MAP NO. 3.REMARKS <br /> date—L by , <br /> FLOOD CONTROL:date dale <br /> date ' <br /> ' by ® BLDG. IN$- 14 (3/03 <br /> lot a slid Until. O / C'13� ` ` -, <br /> n- <br />