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i <br /> PLAN r <br /> X140 <br /> 24.-)I Arsr N <br /> SCALE f <br /> 0 C- <br /> to <br /> scrt L <br /> i <br /> IF tit 36 <br /> VICINITY -MAP NOTES <br /> � jjy5E ?- Cat 6r3�E- T- ZA'x ZAr <br /> x <br /> - <br /> Owner's Name Ro-/ L SEAN KEjg Proposed Use Assessor' Parcel <br /> Address 1-7,82B 11. 7EVFRIES --R-1�, hA_ Av�t� usr-3> Book <br /> City Lt�D f _..,,_— Phone <br /> -Y 6,3 '3=N,4 Dw�UdeJf Page <br /> I T Parcel <br /> Property Address <br /> Signature <br /> • PLANNING DIV. IB10 E. Hazetton Avenue • PUBLIC WORKS DEPT. 1810 E Hazelton Ave. ENVIRONMENTAL HEALTH DIVISION <br /> 1 Property meets zoning requirements for 1. PROPOSAL APPROVED SUBJECT TO: 160' c Hazelton Avenue <br /> both use and construction A. Encroachment Permit required ❑ 1. PROPOSAL APPROVED SUBJECT TO: <br /> Yes)9 No ❑ Zone �— B. Remarks: A. Obtaining sanitation permit ❑ <br /> 2 SPECIAL CONDITIONS B Obtain welllpump permit ❑ <br /> A. School district fee4,t,�,,XP,' ry t� C. Change note( ❑ <br /> B. Fire Facility Fees C <br /> C Flood Innge��? ❑ 2. PROPOSAL DENIED ❑ <br /> 2. FLOOD CONTROL CONDITIONS: 3. REMARKS <br /> D. Traffic Classification ❑ <br /> 3. PARCEL MAP NO. <br /> 4. REMARKS Sum Ctfi1 T-17Dare by <br /> Date 3 L 9 9 Date by <br /> � �� - Y <br /> Note: Fire apparatus access roads shall be provided and FILE NO. 2 _ G <br /> maintained in accordance with the provisions of 199 .6 5 <br /> Fire Code Section 10.207. Check with local fire RECEIPT NO . <br /> district for specific details. <br /> �.�, Q: 4;DOeL SS - 174k b ", !�IaVPa V-�S R-0 <br />