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:lot .Plan Application <br /> Al OAOUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION '� <br /> A.P.N. 007-OCA -4 <br /> MAPS WU-017E L ZOi <br /> tan!':wme � SuW.nama <br /> Addreee 23084 �WI� ROAb pmp e ?. <br /> Ci ACAAMfV d GA . ZIP 15-at/ php,e 'bb8-024G bl/kta <br /> �ppl lcanl'a Name <br /> �dhP C49LLED P L-5^L cmma,r. + : <br /> �J r� r/• pConrscta XOther S.WCk: - <br /> Ac is. 23 _ �x 1L� E-T/AO <br /> baked, <br /> 301 <br /> G,s AGA:Mfib CA . ZIP 95 p, <br /> 220 ph2*10nrndlo len ��� <br /> right <br /> revise Iaation W property iFA•57r SIM OF GOW L05 F-D, ELTWEEN rear 7f T <br /> P":TIBfi FD $ IJAHPNT PD (gIET) SEPT7j73-Pyr i3_Pn.Al1 yes No <br /> O t,4 "uses O CA <br /> Um a adOnss water system_0 <br /> sa <br /> ev <br /> reposed uaserpcep..ls1 DW ELl�re I_I � L Iy\ do W¢e system—CD <br /> -RAW (e)Location of minims.sewage disposal area for septic lank all leach Imes <br /> a)The lot or parcel Involved,showlig shop 8 dimensions (I)litigation or dralrages filches,waterways and drainage polling areas <br /> al Abutling stmt,amid alher right4.8Y and/a easamente (g)Location of existing and Wopoaed driveways all encroachments <br /> 1b)The locations of all existing building and distances to IM Iins Ile)levees,will,the crown shmvn y <br /> (d)The locations,of existing and P, septic Gnice a "its ) ITN DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> 7-lalAig� l}tl� - <br /> I a . <br /> it T I I _ <br /> a i <br /> mus <br /> 77 <br /> i <br /> _. r T I I I .... <br /> r <br /> mei-i(certifies that the property Its vehicle tlm APPROVAL Is sought Is dee f • <br /> ong described as above and Net all existing atrucWrss pro0m re <br /> ow. r the above plot plan. <br /> Applicant's Signature <br /> I, <br /> PLeuHINC DIV. I910 E.Haze elm Avenue .PUBLIC WORKS DEPT. 1810 E.Heaeltm Ave.- .LOCAL HEALTH DISTRICT <br /> r pang meets amlng repuirements fa WN .PROP07—SAL APPROVED SUBJECT ATs'O�-T ENVIRONMENTAL HEALTH DIVISION <br /> and construction /d A, Encroachment Permit resuirsdrw-:a& 1601 E.Haaellm Avenue <br /> 1!f [] No Zone GA 46 8. Surface drain.,.established a shaven 1.PROPOSAL APPROVED SUBJECT TO: <br /> I.SPECIAL CONDITIONS / C. Fees A.Obtaining sanitation permit + <br /> A.School district Ise� a. Comectim Fee ti <br /> . Floodwa B,Chtalo well/pump prmil� - - <br /> Y 4 shown C3 b, But lee C,CWn¢e noted - <br /> . <br /> Flood binge <br /> Noln Impcl ].REMARKS 2.PROPOSAL D�Te NIEDr <br /> S.PARCEL MAP I10. _ • 3.RE RNS <br /> /.REMAflN$$ A fid\ A d✓c!r data by <br /> .S J/1/WN FLOOD CONTROL:date data, by +.•ate=j�"y�7 <br /> by <br /> r-- 57//✓F 1,;,S, - <br /> vau o 7)f20 7-9-56 '` <br /> j ', <br />