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JhPrecise location of property k_ 7G. ____ . q. _._ .. _ _ _ <br /> rear �.- <br /> S A M EYes No <br /> sewers z,' <br /> Structure address _- f} C�:] Ej <br /> GRANNY N OU S ! N G water system 0 O <br /> Proposed use of structure(s) drainage system,0 r� <br /> DRAW (e) Location of minimum sewage disposal area for septic tank and leach lines <br /> (a) The lot or parcel involved, showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage ponding areas <br /> k (b) Abutting streets and other right-of-way and/or easements (g) Location of existing and proposed'dfiveways 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 (1) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> C <br /> A 4t- <br /> } _4 Nth <br /> r <br /> i __ <br /> l I ; <br /> I I E <br /> , <br /> 4 p � r <br /> F <br /> 2 5�- <br /> -T; _y_,_ : - r i <br /> E <br /> _,I 1 <br /> - - <br /> Ss <br /> IT <br /> r <br /> T - <br /> - <br /> i S <br /> � I <br /> ; <br /> T <br /> , �f I- r <br /> 1 <br /> 1. _ a _..-- <br /> T T i <br /> i <br /> : r <br /> r <br /> r <br /> NCO co. <br /> w:. r <br /> , <br /> 9 <br /> Applicant certifies that the property for which the APPROVAL is sought is described aboved <br /> pp geas anthat all existing structures on the property are <br /> shown on the above plot plan. <br /> Date <br /> AUG. 2 5 z g g 1 Applicant's Signature <br /> i <br /> • PLANNING DIV. L 1810 E. Hazelton Avenue PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> 1: Property meets.zonIng requirements for both I.PROPOSAL APPROVED SUBJECT To ENVIRONMENTAL HEALTH DIVISION <br /> use and con tion A. Encroachment Permit required .�. 16.01 E. Hazelton Avenue <br /> ;f. Yes No'[M':..Zone 7^` B. Surface drainage established as shown <br /> 2. SPECIAL CONDITIONS - . E] 1. PROPOSAL APPROVED SUBJECT T0: <br /> [� C. Fees A.Obtaining sanitation permit <br /> A. School distrlCt tee. E3 a. Connection Fee' [] B, Main well/pump permit O <br /> B. Floodway as`rahown © b- Buy-in impact <br /> 2. PROPOSAL DENIED C. Change noted � <br /> C. Flood fringe."' 2_REMARKS <br /> D. Noise mpact �' 0 <br /> 3. PARCEL MAP 3. EMAR <br /> 4. REMA S date by <br /> O CONTROL: date date �-a by e� <br /> date by by y ® BLDG. IN SP. 14 to/a1 p <br /> 00, <br /> tr <br /> Plot Pla Valid Until <br /> / i` <br />