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'lot Plan Application <br /> aN JOA _UIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br /> A.P.N. <br /> lner's Name-111P41a Subd.name <br /> address yld(L, _fa�- /�.. map a <br /> -ity. n.r��c a Zip 33 �' phone r_'�' ?y Y% bl/lot+a <br /> Census Tr. <br /> :,pl icant's Name_4 4 '14,v !� _ f`c�'J <br /> .�9 Contractor Q Owner Setback: <br /> front <br /> address. //�,�/ /�c�i�,�+[ R�-- <br /> t <br /> S �3 let / rJ <br /> :ity—�T A�N�sV zip phone .�.��- .3�6`� 14-�) <br /> - right <br /> :cine location of property "L. tj rear <br /> t <br /> Yes No <br /> �a sewers a <br /> ucture address _ water system Q <br /> oposed use of structure(s) t rib/r r .r.. ( iJ r((��� drainage system_ C� <br /> DRAW (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 (1) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> �N ,th <br /> I I <br /> f© <br /> , <br /> I <br /> , <br /> : <br /> CXn <br /> • _ .. <br /> .. _ .. - <br /> 1 i I <br /> .-.. -. t_. _ .. .--� rte_- ,-._ -•_ --- __._ . <br /> _ - <br /> I I i <br /> : <br /> ++ <br /> t <br /> _T .... i�.._ ' •- - _— — -__- ..Jam...__ z <br /> I, <br /> I <br /> o <br /> I 1 <br /> J-3L15 WS <br /> 1 : <br /> pplicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br /> sown on the abov plot pl f <br /> ate G Applicant's Signature <br /> PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. • LOCAL HEALTH DISTRICT <br /> I.Property meets zoning requirements for both PROPOSAL APPROVED SUBJECT,T): ENVIRONMENTAL HEALTH DIVISION <br /> use and can tion /J ,/�J A. Encroachment Permit required-LjK -- Q 1601 E. Hazelton Avenue <br /> Yes No Q Zone B. Surface drainage established as shown Q 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit E5�_ <br /> A. School district f a. Connection Fee Q B. Obtain well/pump permit -��-- <br /> B. Floodway as show Q b. Buy-in e C. Change noted <br /> C. Flood fringe Q 2. REMARKS - 2. PROPOSAL DENIED L; <br /> D.Noise Impact ' _ 3. REMARKS <br /> L. M <br /> 3. PARCEAP N date by ) 1640K <br /> 4.R KS date - - by <br /> • FLOOD CONTROL: date <br /> date4!522 <br /> by ® BLDG. INSP. 14 (8/03 <br /> P,lo Plan Valid Until <br />