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' e <br /> Plot Plan Application <br /> SAH JOAq_UfN COUNTY DEPARIM NT OF PLANNING AI D BUILD_ING_iNSPEC7lON_ <br /> Owner's Name <br /> ( I[ 3 - Subd.name ' <br /> Address �3, f-(u�e, `-�=( - _. <br /> map pciter, <br /> _ Zip phone- bl/lot a - <br /> Applicant's Name RIv -811'1 �tArl'')2� CrVEOr iiC �Ot(,�Y;pl Census Tr.`s^ <br /> 0G�Contractor ED Owner Setback: <br /> Address. r `�0 5 E ..__�C� - _ n' <br /> �"�, _ front <br /> city l i( .- 1 S �-4 L�. lett <br /> Zip phone �"f`�SC�j <br /> Precise location of property <br /> '-- right v ' <br /> rear <br /> -- Yes No <br /> Structure address �.I I ?'C] kl7 d H'U­:,`r ( _ sewers` �. <br /> r <br /> Proposed use of structure(s) ir. - r-•r-71171 ({u4 i water systemdrainage system_ Q <br /> DRAW (e)location of minimum sewage disposal area for septic tank and leach lines <br /> showing shape&dimensio ' <br /> [ lel The lot or parcel involved ns (1),Irrigation or drainages ditches,waterways and drainage ponding areas <br /> }r (b) Minting streets and other right-or-way and/or easements (g)Location of existing and proposed driveways and encroachments <br /> 3 (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 /> - <br /> _ I <br /> - r <br /> - <br /> t <br /> - i <br /> i I rt <br /> t tV:' <br /> n r��w <br /> s <br /> T <br /> C <br /> I E I <br /> I I <br /> i I � <br /> I h <br /> 1� <br /> I <br /> r-- - <br /> r <br /> '' II <br /> rl <br /> r <br /> I i <br /> _ I <br /> =1 T77777 <br /> ' I <br /> S - <br /> f f <br /> ' i <br /> I <br /> Applicant certifies that the prope[ty for which the APPROVAL is sought is described as above and[hat all e4tifting str }r s /n the property are. — <br /> Date Applicant's Signatur <br /> e PLANNING DIV. 181D E.Hazelton Avenue •PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. .LOCAL HEALTH DISTRICT <br /> r 1>Property meets zoning requirements for bath 1.PROPOSAL APPROVEDSUBJEC <br /> use and cons uttion ��� ENVIRONMENTAL HEALTH DIVISION <br /> Yes Na d Zone <br /> �1 A. Encroachment Permltrequued�"�' 1601 E.Hazelton Avenue <br /> • , �(J Q S � <br /> 2,SPECIAL CONDITIONS urfaee drainage established as shown p 1.PROPOSAL APPROVED SUBJECT T0: <br /> C <br /> A.School district tee a.Connection Fee <br /> S. FlDodway as shown O y b, Bu -' ��� Q B.Obtain well/pump permit O <br /> C.Flood fringe _ C.Change noted <br /> i Q 2.RE RKS PROPOSAL DENIED <br /> CD <br /> D;Raise impati. ED. r rr ' <br /> } 3.PARCEL MAP NO. �� 4 REMARKS 0 {T C.L- <br /> 4. RKS date M �Yv di(• a rhl f+�� Gr <br /> air- <br /> date <br /> FLOOD CONTROL:date 1 <br /> date by by 4,C, W ' <br /> ® e� G.rNSP. r• [eine <br /> Plot 1 n Valid Until <br />