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} <br /> Piot, Plan Andication <br /> s <br /> „SAN J COUNTY DEPARTMENT OF PLANNfN®'AND N 1=,1#$PECTtON <br /> . <br /> � <br /> A.P. _ <br /> Owner's Oma .LAedz /l d61r0 d4e Subd.name i <br /> Address !/ nusp a <br /> City Zip 9f4 LL p — bl/lot r <br /> F . <br /> Census Tr. <br /> Appl icaM`s"am - j -- <br /> p Contractor No Owner Setback: s <br /> Address front r� <br /> Nen lD <br /> City Zip phone ' <br /> 'Precise location of property /S4 c Bp V 2 33 1-01 AV-2T/I✓ rear/S' y <br /> _ rA lRO i Yes No - <br /> Structure address water system_CIV. <br /> Proposed an of structure(s) drainage system C! <br /> DRAW (a)Location of minimum sewga disposal area for septic tank and leach lines <br /> (a)'The lot or parcel Involved,showing shape&dimensions (f)kripKion or drainages ditehss,waterways end drainage bonding areas <br /> (b)Abutting streets and other rISM-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 0~shorn <br /> ng and proposed septic tanks and we (i LINES,THE PROPOSED STRUCTURE or ADDITION <br /> id)The locations d existing.l.. <br /> Zo <br /> r <br /> `t <br /> r <br /> 4f 4v- <br /> r I..j _,...r+� ♦ ..y�.a __. <br /> ._ .. <br /> ,; _.._ .. i t �t _ i • ..Y .-,. is � _'- _ .... _—J..�� . .. , <br /> 1 <br /> I i <br /> ..�._. .-....' � r <br /> App ant ifies'h it the ptopertyla wkkh6ikAPP# J►L is sot6t 10aisci*is sbbve'add that'alt exisfAng straetwei:on the property are <br /> drown on he above plot plan. t <br /> Oate_�1-2 Applicant's Signature /•,�?<l _i _ s ` <br /> •PLAMNNRG DIV. 1810 E.Hazelton Avanae •PUBLIC WORKS DEPT. 1610 E.Hszelton Ave. a LOCAL HEALTH DISTRICT tY <br /> I Property meets Yoning requirements for hath <br /> I.PROPOSAL A ED SUBl T TO:• ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit regal 1601'E.Hazelton Avenue <br /> Yes{JRNo Zone `yL 0 B. Stdace drainage established as p I.PROPOSAL APPROVED` MECT TO: <br /> 2.SPECUL CORWITIONS C. Fees A.Obtaining sanitation pormit <br /> A.School district fee C:] a.Com action fee ED B.Obtain welt/pump permit <br /> B,FlooMw}Y as shown ED b. BaY•i p ange C.Chnoted -, <br /> C.Into— 2.REMARKS 2.PROPOSAL DENIED�� _ <br /> D.Noise impact p S.REMARKS_' <br /> 3.PARCEL MAP N0. <br /> 44.dRate RKS- TJ50 77— data FLOOD CONTROL:data <br /> y <br /> �'�O Q -70by <br /> /a i�bd•"�SP. ut Isfss <br /> ✓�/D T/l 9 �� �"4! fr u rQ�\ Qrtor' 40 t-"- 6Caf� "r.It 'rf1) { UJL r J 1 <br /> b, 4( S?!)S <br />