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Ian Application <br /> CA UIN GOIINT-Y kEPARTMENT OF PLANNING ANo BUILDING INSPECTION <br /> K'A G A.P.N. <br /> Owner's Name P R "+ RS- <br /> Sutid:name <br /> ° Address <br /> C L I 5131- <br /> nep# <br /> City r10 C. tt To !V �.C A . zip�� phone 1 31- 2 G 7F bl/lot# <br /> M. it _ <br /> }' <br /> Applicant's s Name <br /> oF N G / ti Z L I G # r Census Tr, <br /> bilContractor <br /> q Owner Setback: <br /> Address. � P PIA Alig L.- 4),- front <br /> City T G At T r0 e Zip 4?5-Z phone Sd'7` left <br /> right <br /> ` L T A *7 A 1U L)e C T• <br /> Precise vocation of property (� �.o <br /> / Yes No <br /> - Structure adtlress �� fi Tp !ewer! �[ <br /> A. <br /> water system_M <br /> �• Proposed use f structurals! C tlralnage system ,� <br /> - - <br /> '"' <br /> DRAW {e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a)The lot or parcel involved,showing shape t:dimensions If)irrigation ar drainages ditches,waterways and drainage ponding areas <br /> -a,: (b) -Mtintt streets and otter Fight-of-way and/or easements {g1 t-ocat!on of exists o <br /> I 8 ng 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 /> -=-b4r (d)The locations of existing and proposed septic tanks and wells (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> ry+sR pr yi IAry -- <br /> 1 <br /> _... <br /> i <br /> 1 - <br /> °fes <br /> V - <br /> 7t t <br /> -- --{ i � ,y <br /> i <br /> I - <br /> T <br /> T <br /> 7 <br /> 01 <br /> 1 �� _..W.�L ! -- _. ...�. <br /> $ - <br /> - - <br /> ,� ,;;,,,.,�„�,,,•, Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> shown on the above plot plan. - <br /> Date I.- q— Applicant's Signature `•rr' <br /> •PLANNING DIV. 1810 E.H..Iton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave, •LOCAL HEALTH DISTRICT <br /> •Prapeerty meets zoning requirements for both .PROPOSAL APPROVED SUBJECT TOie— ENVIRONMENTAL HEALTH DIVISION <br /> use and construction per_,_ A. Encroachment Permit requiredt,l 7') 1601 E.Hazeiton Avenue <br /> Yes � No 0 Zone r B. Surface drainage established as shown I.PROPOSAL APPROVED SUBJECT 70: <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit �I <br /> A.School district fee 1 � a. Connection Fee <br /> ^. B, Floadway as shown Q B.Obtain wail/pump permit d <br /> (� b. Buy-in-fee <br /> C.Flood fringe _ r 7 C.Changs noted <br /> 2.REMARKS :J. �_ 2.PROPOSAL ENIED <br /> - A-Noise impact - _ <br /> 3.PARCEL MAP N0. © 1 _ 3.REMARKS <br /> ` date _- - l�z-� I !�. <br /> T 4.REMARKS <br /> FLOOD CON' <br /> w' S - 'S, date by-. -- <br /> 0 date <br /> .3x date '�- byr4.41�by�-y nrS,rr..� �r,i,�� ' ! 1. ;]y: i' '7r/ <br /> - ®enc. : ay. r•;a/sa <br /> Plot Plan Valid Until-7--.?- I s <br />