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(a) The lot or parcel involved, showing shape &dimensions (f) Irrigation or drainages ditches, waterways and drainage ponding areas <br /> (b) AblPAttirlR streets and other right-of-way and/or easements (g) Location of existing and proposed driveways and encroachments <br /> (c) The locatioi's 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 STRIUCTUREhor ADDITION <br /> - - <br /> I`" North .. <br /> , <br /> 7 _ <br /> _ <br /> j 1 I <br /> i ---- <br /> )- t <br /> = I i <br /> 1 <br /> 1 I I <br /> . —.—s--{- I •-.. fes„. _ .-- — � .— ,... <br /> - <br /> f .._«........sem__.. <br /> I' 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 /> j Date Applicant's Signature 1 <br /> A lic — <br /> • PLANNING DIV. 1810 E. Hazelton Avenue • PUBLIC WORKS DEPT, 1810 E. Hazelton Ave. . LOCAL HEALTH DISTRICT <br /> 1. Property meets zoning requirements for both T. PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1501 E. Hazelton Avenue <br /> Y6 0 No 0 Zone B. Surface drainage established as shown [] I. PROPOSAL APPROVED SUBJECT TO.- <br /> 2. SPECIAL CONDITIONS C. Fees <br /> A. Obtaining sanitation permit <br /> A. School district fee [� <br /> © a. Connection Fee © B. Obtain welI1pump permit <br /> B. Floodway as shown b. Buy-in-fee C. Change noted <br /> C. Flood fringe 2, REMARKS 2. PROPOSAL DENIED <br /> D. Noise impact 3. REMARKS <br /> 3. PARCEL MAP N0. <br /> date by <br /> 4. REMARKS <br /> i <br /> FLCOu CONTROL: date date by <br /> date by by ® 6LDG. INSP. 14 to/s <br /> Plot: Plan Valid Until <br />