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Assessor's Parcel No. <br /> 1►PPL ATION. Applicant's Name <br /> `fpf L"7 Contractor f") Authorized <br /> /Agent <br /> / book sJ <br /> ',APPROYALflu <br /> f0ir �I� phone <br /> Pap <br /> pane <br /> I a'' , CONSTRUCTION :Drruer's•Naela � � � ' � � <br /> Subd. <br /> KWASalt' ooq�iti:�ount�r Gary ;: units <br /> black N <br /> "Mal"1041 111#�A�1[A <br /> Iota' <br /> .7! Yes <br /> , a ) aam$ n <br /> water system <br /> :'�"iapoeed Mss d stsactweis} �`. �} S _ _R drainage system_i=1 <br /> (e) location of minimum sewage disposal area for sep*tank and leach lines <br /> he kit or,parc.i kivolved,showing shape dimensions (f) Irrigation or drainages ditches,waterways and drainage pond1112 areas <br /> {b1'llbstt stylets and otfuer dot-of-way and/or easements (S)Location of existing and proposed driveways and encroachments <br /> *1 Cls♦rtocatl0ns of all existing btllidi002 and disttinces to lot lines (h) Levees, with the crown shown <br /> } 'Ail leCalopt of existing andpropossetl septic tanks OW well: . U) WITH DOTTED LINES THE PROP 0$ED STRUCTURE DDITION <br /> a Fa Me <br /> y rf #"{""i'•T._1.". -a + a , 1 �yr 1 -•r�'-'�._ I_� -i-I._. Nor. <br /> We <br /> r d <br /> d � 55 <br /> 1 y-�w�I <br /> ��^h� �s '°r;�� �� �I � `' r� �'�t�.-�_ ♦ 1 4 ^�4 <br /> ° ,�`�'� ���a i "'��. _-�- � � i !t +„� r -:-4 i '•- - -I J. � ! l '�,-+-- YI• --” r.Ips.. .�� " <br /> _1 <br /> -4- <br /> . <br /> ' -I I - — .1 _L`r�'� .f"S"_".: .S�•� _!�,- ��--•��J- -'- .. <br /> I I j -4- <br /> ."T <br /> f <br /> 33 I .I —� <br /> �'•-S•..F. + ter , <br /> 4. <br /> t <br /> 4.4 <br /> }1r {{ <br /> q• i F <br /> �14 —^— <br /> w <br /> 777 <br /> r _ /1 '-1I--I� I I <br /> F S.5 -S I �/ i�.y', -.p i •=—'1 I _s ���r._ G ._� ITT 4 <br /> x.=� 6,-SCC. •., :'• �L _.�,�i' - !- —<..--� �._.._ D� .. , -� .».�-� { -"i.—I'�. 1-f <br /> t _ate ' ' r- _.' <br /> 1 i <br /> '� -vw +rnsrs tdaitili pteplwty fey rtfle�l tha�iROVAL)s sought it%descr:ibea shave and t10�t all <br /> sting structures t�ii property gyre <br /> a *n the above �1#n n' ; <br /> 5!e , Applicant's Signature ` <br /> k':'PLANNINO DEPT.' 1111'0 E.Houma Avenue. •'PUBLIC WORKS DEPT.. 1810 E. Hazelton Ave-. . LOCAL HEALTH DISTRICT <br /> a 0"ress 2001112 regU"MOnts for both PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> stldd coitstntptian ,a A. Encroachment Permit requlred � 0 1601 E. Hazelton Avenue <br /> Yes _fr_o�(� Zone �`� ��' B. Surface drains established as shown <br /> # #��c,t7Nt]tT1DNS p 1. PROPOSAL APPROVED SUBJECT TO: <br /> C. Fees <br /> s;A.&lime!dhtrict fa A. Obtaining sanitation permit <br /> r .--...,—.� a. Connection Fee �] B. Obtain well/pump permit <br /> r`� M'F,Iaad y as id0awn_.Flow,fftf <br /> �,,,.,__.:© b. Buy-In4as p C.Change noted <br /> 3g Dt 0 2 REfYIARKS' ' r _2. PROPOSAL DENIED <br /> ' S.PIIRCIEI.MAP N0. J ti'•:-•�� -- 3. REAtP1RKS <br /> g ,.4_REIi1l1RKS ,. : �' �• a date. r J .by ' <br /> FLO C x F b!► <br /> OD CONTROL: date a�' <. c <br /> �,��'�fists r• .����' ,.:, ,T-r-t++�� <br /> s * ! <br /> /. i A%I a: t} ''.r ✓ > •_ .. - - t�. -i" r 'I J V ssJ1+'a'd► <br />