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�iAN;lUA(IUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> — — <br /> Owner's Name [(A A.P.N. y <br /> Vl5r,.4 v sc h- w Subd.name <br /> Address = <br /> City It , map a <br /> Z—T� ho bl/lot a <br /> • t� ����p s /'� Zip�v v�7 oZ p...`. <br /> Applicant's Name Census Tr. <br /> p Contractor O Owner Setback: <br /> Address. �- front <br /> 7— <br /> City Zip phone left <br /> /r - right A17� <br /> PI location of property rear �Q <br /> cv riy► �psr SiD�' of A�Aiw�' ,en/s'�� O N•E. <br /> �+ es No <br /> Structure addre3sSUS ' sewers CD <br /> CA water system O p <br /> Proposed use of structures / drainage system_Q 0 <br /> DRAW .., _ 1 <br /> (e)Location of minimum sew ge disposal area for septic tank and leach lines <br /> (a) The t or,par I ' vglyed,showing shape amen Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abut inQ stree n other right ot-vjay'a,,d (g Location of existing and proposed driveways and encroachments <br /> (c) The ations f 1 (I ting Quipidgland ist I lines- (h Levees, with the crown shown <br /> (d) The ocation f ng"d oit se and IIs (I WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> _ + {-•-+ <br /> t <br /> r - - - - 'r <br /> Nor <br /> rt <br /> _ate <br /> im 1111 <br /> ---�- - . <br /> t _ <br /> T i <br /> _ t <br /> i -i' ,, - <br /> 1 ` <br /> �- -f i_.y._T, <br /> A. <br /> - r <br /> : <br /> _ r <br /> r t- <br /> .. - - - �• -- '-tel _ <br /> -. <br /> ri <br /> Ili , <br /> } i <br /> t .44 <br /> - t . lvo <br /> t71 - <br /> 4- <br /> f <br /> `f I +i-1 <br /> i.. <br /> i <br /> t j-+fes, l- <br /> 1• .,._ ; - <br /> ......,. r <br /> 1 <br /> 7 +— + t <br /> 1--! <br /> , <br /> F. <br /> 1.. y r _I. ,^ (.i _ .. <br /> 4 <br /> Tt­ <br /> - -)'- -. t i. <br /> Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structure the property are j° <br /> shown on the above plot plan. <br /> Date `/ <br /> Applicant's Signature <br />• PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. •LOCAL MEAL H DISTRICT <br /> Property meets ionin <br />