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r� ,S Irv. <br /> J A�w�Mrsuiw..w.a .; M8 <br /> w APE' ATION Applicarrt s Name <br /> r l () f ' Assessor's Parcel Ob. t <br /> ° a f (�] Authorized Agent <br /> Or, Contractor <br /> book <br /> } 1►PPROYAL Addresw< <br /> /4- ne PAN <br /> for . .. ;.City phoZ i <br /> parte! <br /> CUNSTRUCTIOM t#wnar'a dame_ <br /> S _.. <br /> r; T?9624 <br /> v ubd. <br /> �� '_� Itl�u�1.-CrQYrI#r a r•'. .. - l Unit a <br /> i1Y phone 2 block+r <br /> lot a <br /> r <br /> - <br /> . �s <br /> r - TYes No <br /> r x ' sewers Fj L:( <br /> waters stem <br /> A ..WNWigye,�i�tiucturo4s) �' a -•-- drainage system—ED <br /> (e).Location of minimum sewage disposal area for septic tank and leach lines <br /> fe T#IeJat ar pgrca!devolved,showing shape &dlri(ensions (f} Irrigation or drainages ditches waterways and drainage ponding areas <br /> ., 6 g Y g pa ng <br /> �i1`I# ttnR silslrts and other riAfst airway and/arasements (g) Location of existing and proposed driveways and encroachments <br /> 0i:JPre Wei of all existing building and dittances to lot lines (h) Levees, with the crown shown <br /> 3aC wki of existing and proposed IWIC.tanks And.weIIs (1) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADD TION <br /> �. <br /> x <br /> --r - t <br /> . r-V�- <br /> ma4. k^ f-7j <br /> ` ' <br /> €� t' t ; ! <br /> XE <br /> t• IF <br /> . 1r{.. <br /> - <br /> f <br /> r <br /> } 1 <br /> 'WN r .-. .1 is .:R .�..�..I } i. f..._ <br /> a ,r <br /> ,i <br /> y •fµ y i 3 <br /> � u <br /> F [[ { <br /> a !11 dd <br /> � I <br /> w. <br /> I I <br /> %r'w a u i..tT.j`.Y` 1,�., -{' ,,.�„•1_d .', .� Y +I. I { <br /> a <br /> f,i , <br /> £1 �'t ' <br /> ._ <br /> , V <br /> f i <br /> {:. <br /> T. <br /> " t 1_ I �_ <br /> ji <br /> N <br /> t I <br /> k -' • F L t t-F-" = - a t <br /> i' <br /> ,�g •-+I—i.� ' _s--:t'•�- {-'.- {_.Vic, .'..� ...#_,_ -, , <br /> �tr�. '•:ert�#ie 'hat',tx-pt r,f^�s °4.h'�'*PPP,110lrA'_"z sc:Q'it-is,described„s abovj d tyat all xistirg sfruci�e .un tit-property a <br /> lto+vn on the above plot pia <br /> " :. Applicant's Signatu <br /> R;PLIINfIiIN EPT: 1$10 E.Hazelton Avenue ♦ PUBLIC WORKS DEPT'' 1810 E. Hazelve. . LOCAL HEALTH DISTRICT <br /> . , , eperty raillt#i zoning requirements for both... .PROPOSAL APPROVED SUBJECT ENVIRONMENTAL HEALTH DIVISION <br /> rare and coss�ructlan A. Encraaehmerit Permit r u4red 1601 E. Hazelton Avenue <br /> Yes'©Y;.11o p Zone B. Surface drainage established as shown 0: 1. PROPOSAL APPROVED SUBJECT TO: <br /> SPECIA�:'CON DITIONS C. Fees A. Obtaining sanitation permit <br /> D <br /> Y A:School district fee [] a. Conniectian Fee - 0 S. Obtain well/pump permit <br /> 8;Flood"Y as shown — p `' '. '- b. Buy-in-fee © C: Change noted <br /> Floodirirbge © 2.REMARKS 2. PROPOSAL DENIED [� <br /> Q:: WSealripset <br /> V3.PARCEL MAP 1t0. © 3. REMARKS <br /> 4,REMARK& date by <br /> date by <br /> FLOOD CONTROL: date <br /> w7 <br /> .- - - 9 SLOG, 4NsP. 14(31791 <br /> y `` <br />