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Plot Plan Application <br />S.AN-J.OAOUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION <br />Owner's Name <br />Address. 3-1y 7-3 <br />city— <br />Applicant's <br />ity Applicant's Name <br />Address <br />City S' <br />Precise location of property <br />fan G 6 , Zip ?S2-0-7 <br />[] Contractor ,Owner <br />Zip 9,s-zo.7 <br />w 4w-7- <br />Structure address 91��/ DOY/C Co ur�' <br />Proposed use of structure(s) A!ile ,4ewc�Re wc� <br />A.P.N. V R(o —S60 3 <br />Subd. name A0$h Pr /i tits( <br />map n <br />bl/lot u <br />Census Tr. <br />Setback: _ <br />front 0 i <br />left Ito,) f <br />right 60 f -2,0' <br />rear <br />Yes No <br />sewers [, . <br />water system,z CD <br />drainage system— O Z <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 i) WW,ITH DOTTED LINES, THE PROPOSED STRUCT r AD ITION <br />'._ Dorle- <br />--Bou Point Pm Cdr_' i _ �ourf <br />__. <br />North <br />t t r <br />1��►«, <br />t Fri" <br />-- 1-------;- <br />- tz- No <br />E.A es -h <br />r e5 <br />Applicant certifies that the property for which the APPROVAL is sought is described as above and that all existing structures on the property are <br />shown on the above plot plan. <br />^? <br />Date T —�S _p / Applicant's Signature /��, )��•.+��J�. !J`� \��'¢� <br />• PLANNING DIV, 1810 E. Hazelton Avenue <br />1. Property meets zoning requirements for both <br />use and construction <br />Yes No = Zone �-(Z— (6 <br />2. SPECIAL CONDITIONS I _ <br />A. School district fee <br />B. Floodway as shown <br />C. Flood fringe iMt IN <br />D. Noise impact <br />3. PARCEL MArP N0. <br />C REMARKS ems .,f,�IIl. f-lAu.:y <br />date <br />Plot Plan Valid Unt <br />• PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Encroachment Permit required— <br />B, <br />equired B, Surface drainage established as shown <br />C. Fees <br />a. Connection Fee— <br />b. <br />ee b. Buy -in -fee =1 <br />2. REMARKS <br />date by _ <br />FLCO„ CONTROL: date <br />J <br />LOCAL HEALTH DISTRICT <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E. Hazelton Avenue <br />1. PROPOSAL APPROVED SUBJECT TO: <br />A. Obtaining sanitation permit <br />B. Obtain well %pump permit <br />u <br />C. Change noted <br />—� <br />2. PROPOSAL DENIE <br />3. REMARKS M►1—J <br />0 <br />date —.Q% by <br />On <br />® BLDG. iNSP. <br />14 (8/83 <br />