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•APPLICATION Applicant's Name L _o � Assessor's Parcel <br /> for ] Contractor y] Authorized a gent booir ----- <br /> '� Address _+ `-� -._ I-,j,ir7Z page <br /> *PPROVAL _ <br /> for City_ - phone RR4 / ` parcel - <br /> CONSTRUCTION Owmr's Name Subd. e> <br /> fro" <br /> in Address unit x. -- <br /> Son }ooquin County City phone block+r <br /> cXr . <br /> Precise location of property_ `" rr ! — lot is <br /> des� N, <br /> Sewers <br /> water system <br /> Structure address _ <br /> �C�f <br /> 1 M . .� drainage system�� 1• <br /> Proposed use of structufe(s) ' <br /> jkl <br /> DRAW (e) i_ocation of minimum sewage disposal area for septic tank and leach limes . <br /> (a)-The lot or parcel involved,showing shape dimensions (f) Irrigation or drainages ditches,waterways and drainage ponding areis <br /> (b) Abutting streets and other right-of-way and/or easements (g)Location of existing and proposed driveways and encroachments " <br /> (c) The,iocatians'of ail 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 PRbPCkD 5tRf1CTURE or AODIT10hg <br /> , <br /> I � North_. <br /> 8ttlfldNt <br /> a <br /> i <br /> t. <br /> _ <br /> F J W e <br /> 4M,r.,Ar <br /> re.� ` to rty' ,f-' /r-. i._� • �_ _A J ....r.�11�...f. � i / - <br /> 6 J �.t ..�•�I' `� 'Ale M <br /> At <br /> , <br /> xr , At : SQele' I <br /> I Appiicant certifies that the property for vihich the'APPitOVAL:is sought is 0esorlbed a3 above and that all existing structures on the,property are ' <br /> shown on the above plot plan <br /> ( Di1te l `fir f! APPlicait's signature ■ <br /> * PLANNING DEPT, 1814 E. Hazelton Avenue • PUBLIC WORKS DEPT. 1810 E. Hazelton Ave. s LOCAL "EALTH-DISTRICT <br /> 3 Koperty meets zoning requirements for both: 1•PROPOSAL APFROVED SU-3JEC0: ENV IROMM£Pl'i`11L H ALTH DIVIS1ON <br /> use and construction 4", _ .� A. Encroachment Permit requfred/i� �; 1601 E. Hazelton Avenue <br /> MM <br /> B. Surface drainage established as showrrp 1. PROPOSAL APPROVED SUBJECT TO: <br /> Yes 0 No-M. `Zone <br /> 7. SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit — <br /> A. School district fee 0 a. Connection Fee —'""� B_ Obtain wail/pump permit <br /> '8. Floodway as shown © b. B -n-fee Ti " `"ice C. Change noted C. Flood fringe 0 2. REM <br /> AR _ _ ""' ' 2. PROPOSAL DENIED_ - -L <br /> D.Noise impact [� t�1�( ? - 3. REMARKS <br /> 3: PARCEL dated �' __ r <br /> 4•ROM $ r�' -� ,: ,,: - 1 . date Eby-- \. <br /> /�"� ' �r ._s '3'.f �..✓.yi <br /> FLOOD CON4Qt/date I <br /> by <br />