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: <br /> n . <br /> blot Plan Application <br /> PA <br /> N JOAAl1IN COUNTY DEPARTMENT OF PLANNINGAND BUILDINGINSPECTION <br /> A.P.N. 'lila-j1©-29 <br /> Owner's Name Peter and 84Libje boysa t Subd.name <br /> _Address x,75 Dietrich Road _ map� <br /> City Linden Zip I62afi phone t1F5,-ytt2a; bl/lot u <br /> F— ...._. <br /> Census Tr. <br /> Applicant's Name --Same- ' <br /> O Contractor W Owner Setback: f <br /> Address. BtA['- -- front <br /> left /l) <br /> City Zip phone tight <br /> Precise location of property rear lit} <br /> r <br /> Yes No <br /> I "D <br /> ED Q <br /> Structure addres§ 5Bti]Ea- ami `7 7~ JLV I C_ K. �• C f 1 sewers water system—Q <br /> Proposed use of structure(s) f lodrnnja 31f1,11tioij drainage system—p <br /> DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> F (a)The Ic t or parcel involved,showing shape&dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abuttlhg streets and other right-af-way and/or easements (g)Location of existing and proposed driveways 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 III WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> F0, <br /> - <br /> � <br /> 1-i_, I�,- - -I <br /> TT <br /> -HH i I ' I --i <br /> _L <br /> f <br /> T. 1 1 EI I Y <br /> i <br /> 11 <br /> 4114 <br /> 7-7 <br /> j 7 <br /> 1 I <br /> ' LW <br /> -i— '__ _ •? 'ice+ 1 - .L_)_ ;_ d _. <br /> [ I <br /> — — ..— <br /> 71 <br /> r4miuntcertifies that ftproperty for which the APPROVAL is sought Is described as above and that all existing structures on the property are <br /> shown on the above plot pian. ' <br /> Date—iC�c d (1' Applicant's Signature ' ter- "f�f 1'd1 <br /> .PLANNING bIV, 1810 E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> 1.Property meets zoning requirements for both 1.PROPOSAL APPROVED SUBJECT T0: ENVIRONMENTAL HEALTH DIVISION <br /> use and c rf truction 7� A. Encroachment Permit required 0 1601 E.Hazelton Avenue <br /> Yes 7.0 [_] Zone ��� ` �t/ B. Surface drainage established as shown�] 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees A.Obtaining sanitation permit l� <br /> F+ ' A.School district fee Li a. Connection Fee B,Obtain well/pump permit 0 <br /> B. Flooday as shown b. Buy-i -e 4�7] C.Change noted <br /> C.Flood fringe 7-12.RE Icy 4 ...I f-:)17 j.6 <br /> D.Noise impact T 2.PROPOSAL ENIED�. <br /> 3.PARCEL MAP ND: "}ro-t - f - r r�_ 3.REMARKS V I <br /> date by - -�::?-�- L/ <br /> r 4.REMARKS_12.=b' ?C^Id:S j.--I�r'.[lJ date by l <br /> fi > ` FLOOD CONTROL: date r <br /> date G•` fK= ��tSy l I by BI-OG. INSP. 14 (a/6a <br /> Plot Plan Valid Un / F <br /> e� P �, c,r - a T; <br />