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use of of stf <br /> 79tank.and tikai�s <br />,011f gaed ucture(s)_c. drainage ponding ar <br /> (a)Location of minimum sewa�a dispo� <br /> QIlAMf ($+dimensions (t) Irrigation or drainages ditches, encroachment4 <br /> el Involved,shows of (g1 Location of existing and proposed d. # 4 <br /> (a1 The lot or par+: s with the crown shownE a..Al!'1'lf]Ill r <br /> `(b1 Abutting streets and other right�f d /istaws a easements lot linen (h)(.eves + ED LINES.THE �•, <br /> locations of all existing build seplic tanks and wells (i) WITH DQTT r. <br /> /i leeatiaas of existing and'Pr <br /> , <br /> 3 Z <br /> . •c s f Biu .y. I ' i . , <br /> F.a <br /> -7 _ <br /> � LL <br /> IT� v <br /> 1 <br /> , <br /> € 4s , <br /> .req r t� f 11.7 <br /> F w , <br /> s <br /> x;\ppFlcaa#cert <br /> W"hat the property for which the ApPKOiVAL Is sought <br /> is described as above and ant all existing structures on the props are <br /> #gwO <br /> i 'on the . Io#pian. f <br /> „ ? App}icant's`Signatnre <br /> 0 @,•418indlton Avera a BUP LIC RKS SEPT• 1810 E. T t6n Ave • LOCAL NTAt_DISTRICT <br /> HEALTH' tiVlSiWt <br /> 1 PRO AL APPROVED St1B1 CT .1603 E. Hazelton Avenue <br /> meds zoning requirements'far both A. Encroachment Permit required <br /> se andcon�lruction , ` g, Surfs"drainage establishe a as shown [D 1. PROPOSAL APPROVED SUBJECT TO: <br /> Yes 0 No 0 - C. fees Fee A.Obtaining sanitation permit— <br /> yes <br /> 1- 2.SPECIAL CONDITIONS Q.Qbtain wail/pump Perm It <br /> a. Connection C.Change noted <br /> .' IC:'Sahoai'dstrictfee -�— O b. i3uy-i se <br /> B"Floodwgy as ft10Wn — O 2, PROPOSAL DENIED <br /> zap fringe © 2.REMARKS <br /> C. Flood ge (� . W 3. REMARKS <br /> D"Noise 1r <br /> innge �T <br /> � .3.,PARCEL A60 NO. date .• by <br /> v y. <br /> loos by <br /> 'Al fL4{DD CONTROL, date sorra. iwsP��< <br /> I <br /> ��' � `. - <br /> do <br />