Laserfiche WebLink
'ma COMMU- <br /> 1. <br /> t <br /> 1. Name and Address of Apphcan <br /> �2..Ownelr's Name and Address (if not applicant) <br /> 3. 1:egai.ldescriptio <br /> 4. Address or Precise Location of Structure <br /> I <br /> 5. Proposed Use of Structure <br /> 6. Draw (e) Irrigation or drainage ditches. <br /> (a) The Lot or parcel involved, showing shape and dimensions. (f) Location of existing and proposed driveways and. nn- <br /> (b) Abutting streetsand other rights of way. croachments. <br /> WITH DOTTED LINES THE PROPOSED <br /> (c) 'he locations of all existing buildings and distance to lot lines. (g STRUCTURE OR ADDITION. <br /> (d) The locations of existing and proposed septic tanks and wells. � � <br /> 921j Point Pen Qnly , <br /> F <br /> , J <br /> �Y <br /> - <br /> � � f Meh <br /> 4M& <br /> 1 <br /> J. <br /> 13 <br /> I _ <br /> ;� Y <br /> N <br /> - <br /> I <br /> t' _ <br /> r <br /> ell I <br /> r <br /> WG,! , f: Approx. SraIe <br /> � 74 <br /> APPLICAitiT CERTIFIES THAT THE PROPERTY FOR W�xI H THIS PERMIT IS SOUGHT IS AS DESCRIBED AEON, <br /> AND :THAT ALL EXISTING STRUCTURES ON THE PROPERTY ARE SHOWN ON. THIN ABOVE ?LOT PLAIN. <br /> Date - Applicant's Signature <br /> PILANIVIN`�iG DEPARTMENT PUBLIC WORKS DEPARTMENT HEALTH DEPARTMEiN t <br /> 1.850 E. Hazelton Ave. 1810 E. Hazelton Ave. 1.601 E. Hazelton Av_- <br /> il: <br /> :. Property meets zoning requirements for both use 1. Proposal approved sub;ect to: I. Propria! approver' subject;a: <br /> and construction. A. Encroachment Permit A. Obtainirng sanitation ;2ormi' L <br /> Y8 1I <br /> 1.No Zona App%aticn ❑ B. Changes Noted L <br /> 2. Remarks B. Property line barrier established as shown ❑ 2. ?roposai Denied — <br /> I� G Surface drainage established as shown ❑ 3. Remarks �� �,... '-f �r�� �' r=/ <br /> c✓i �f '�-- f -•,res:-.�°�_�_•.�.,,,�.q7 <br /> �r 2. Remarks <br /> f�,, �ri <br /> Date Ila sy Date BY Date Y� <br /> r 4 <br />