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Yes No <br /> Structure adtlress- �r &10 #fI 1 'b -If 12 1 J t sewers p p <br /> water system p p <br /> Proposed u Ise of structures) WjZ J drainage system— <br /> DRAW <br /> ystem_ <br /> h <br /> (a) T (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> (a) The lot Or parcel involved, showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage ponding areas <br /> (b) Abutting streets and other right-of-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 (i) WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> ' I 1 I I I ` I 1 • i i - <br /> IR <br /> t I I I I E E-€ + E Nort <br /> c __r ' --— <br /> -\ f 1 1 I I I <br /> - i " ! <br /> 1 I i i i ���. <br /> E <br /> I i — <br /> 4r I 1 I <br /> I j <br /> SP <br /> r <br /> 1 I <br /> I <br /> 1 -L <br /> Y' <br /> t , <br /> s I <br /> I <br /> , — <br /> r i , <br /> I <br /> I <br /> i <br /> I t l •,� f I ! 1 i I ! <br /> JL <br /> F - <br /> 1 - <br /> I' l 3 <br /> E E -- <br /> -411 <br /> I I' <br /> I € <br /> I # I <br /> I <br /> 1 <br /> , <br /> I <br /> i✓ ! <br /> 1 f S <br /> I E <br /> e - t <br /> E <br /> 1 <br /> 1 , <br /> 1 I <br /> licantce i - <br /> Opp t es that the pope"r}r for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> „hown qn the ove plot plan. <br /> Date �O -. <br /> Applicant's SignatureCt_ [ h r�n :; .�r'. <br /> PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT, 1810E Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> 1.Property meets zoning requirements for both I.PROPOSAL APPROVED SUBJECT ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> f <br /> Yes ��p Zone 6. /�-/:� B. Surface drainage established as 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees C�, n A, Obtaining sanitation permit <br /> A:Scliaol district fee p a. Connection Fee f' �] Obtain well/pump permit <br /> B. Floodway as shown © b. Buy-i e p Change noted Lj <br /> Fit C. Flood fringe p 2.REMAR S 2.. ROPOSAL DEN <br /> D.Noise impact l] - <br /> 3. PARCEL MAP NO. 3. REMARK <br /> 4.REMARKS �./_ - r . ,;� _ date by <br /> date 1� - by <br /> FLOOD CONTROL: date <br /> date :_ ��, . -.,�� �� <br /> by BL G. imsp. 14 (8/83 <br /> UI I (PZ1_G 2 Tb g <br /> �,. �- <br />