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- .i :.• ! <br /> 4 <br /> -Plot Plan Application -T <br /> 1W. ,�W,WUjN COUNTY DEPARTMENIM—P_II'ANNINO AND BUILDING INSPECTION, <br /> A.P.N. <br /> Owner's NoSubd.name <br /> r mgr <br /> Address maps <br /> hl/lot a 6-A" -21 <br /> 211. <br /> City <br /> Zip phtxte ' <br /> F' 'Census Tr. } <br /> Applicant's Nams Setback: '4' <br /> ' Contracts D Owner front <br /> Address. left j ,. <br /> CRY <br /> Zip right -..F *:. <br /> rear <br /> "r'1 Pnaiss,Iocatlon of property i r. <br /> Yes No <br /> sewels C1 } <br /> Etfudtua addriaa water system—0 p <br /> �r ,,,,r, „� ,u;• �,r drainage system <br /> Proposed use of structun(a) ! <br /> ! <br /> ` DRAW - - (e)I.eeatien M minimum sewage disposal area!s septic tank and leaCh lines A. l <br /> . Ia)The lot a parcsE lmolved,showing shape S dlmenslrnrla (!) irrigation a drainages ditches,waterways and drainage ponding areas - - <br /> wi (b) Atxlttinll,streets and other right•o!-w*and/or easements (g)Location of existing and proposed driveways and encroachments ry <br /> {e)The locations of all existing building and distances to lot lima (h)Levees.with the crown shown { -L <br /> .r" Id)The Iacallors d existing and Proposed septic tanks and voills ii1 WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> N1_ -I -r _ wy North S n+ \ r <br /> � "'3 - _-L 1 t- t <br /> 11 . <br /> }I <br /> {. -- <br /> ( �� <br /> x { w } W ' <br /> aY� - <br /> 4"1 <br /> 1 1 y ,.1�, _..I.._ _ _ - •l ` <br /> - <br /> X. <br /> - <br /> Lfi _44:1-4 = ) <br /> �l <br /> t +�_ <br /> r ' <br /> T I + r-. '- <br /> r r <br /> V I <br /> -�• - -------- i {Ti <br /> -i <br /> _ TT <br /> Applicant artH Y DI on the r t� <br /> Sitcom on tion above of plan. <br /> tats � • AppliGant'aSignatun --1t..i•S-»i-• <br /> ,_ II <br /> y <br /> PLANNING DIV. lbt0 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> 6 4 r T'T 0a mMta zonFng requirements for both .PROPOSAL APP ROVED SUBJECT 70: ENVIRONMENTAL HEALTH DIVISION <br /> use and coratru%tied -A. Encroachment Permit required 1501 E.Hazelton Avenue <br /> YAC <br /> � (� Na�] Zone r t B, Surface dralnaI established as II1.PROPOSAL APPROVED SUBJECT T0: ?,A; <br /> R 2.SPE'RL C011b-fTIbNS. � C. Fees A.Obtaining'sanitation permit <br /> r' ,:-rr a. Correction fee S.Obtain well/ Permit-- 'k, <br /> .a`�` A,School dlatrlat 1w [� 0 WmP Pe Q <br /> Plaadway as shown�4 b. Buy-in-fee C.Change noted <br /> `{ C.Pitied fringe ED Z.REMARKS Z.PROPOSAL DENIED cJ <br /> t1 <br /> D.NeFp Impact [n 3.REMARKS <br /> b 3.PARCEL MAP NO. I ( r <br /> f date <br /> MA :' .. <br /> : {.RERKS 1 IL t data by k' <br /> FLOOD CONTRO <br /> ate <br /> date `^�' -.�..� .'r <br /> ice.. <br /> Plot Plan VAlid Until/', ' <br /> '- <br />