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City - .42iop ZZ: phone block q 100, <br /> 'rkcise location of property lot 9 <br /> VC)N SJR 1 ,� Yes No <br /> j sewers <br /> structure rddress 1 water system Q <br /> '*-.Posed use of structure(s) / drainage system r �} <br /> DRAW (e) Location of minimum sewage disposal area.fof septic tank and leach lines <br /> (a) The lot or parcel involved,showing shape &dimensions (f) Irfigatior: or drainages ditches, waterways 4nd drainage ponding areas <br /> (b) Abutting streets and other right-of-way and/or easements (g) Location of existing and proposed drivewaXs and encroachments <br /> (c) The locations of all existing building and distances to lot lines (h) Levees, with the crown shown <br /> DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> d locations <br /> d existing and proposed septic tanks and weds (r) WITH - <br /> , <br /> _ 1 I I I <br /> r � }-7-1 , <br /> � .—jtt <br /> :. µ� <br /> ' <br /> - -r- <br /> 4� + ,-r------ 1 �"_, t <br /> �- i f-t ; --r-"— T,..,. .i. t I �_�._j. ;I , -i. ,,.�—. r.—^--�-�-'r -1— -• ,— r—_.�_�..r�;:.1.� <br /> T 1 } 1 J a r <br /> .W <br /> r, �-- <br /> a fif 1 <br /> s r a— <br /> s VE <br /> 4– 1 <br /> T ,. _ _ <br /> 4 -411 <br /> ...{._t i I I._r <br /> , I <br /> 1 _ <br /> ; <br /> _ice <br /> : <br /> , <br /> t. .....A ..., L:... <br /> �w <br /> I I I I <br /> - — - - r -t <br /> , <br /> ..-.: <br /> ff1 I I I <br /> III L <br /> ..—.., r •-� —r—s — Try 1 � .� __ I ---;•—•—t—�--�_F <br /> : <br /> •a f j <br /> rl <br /> . <br /> 77T <br /> i <br /> r = Anpxor' Sex3e F -l <br /> pplicant certifies that the property for which the APPROVAL � iWghkis describr:d4wabove1arn4 that all ex ting structurs-on.the property are <br /> nown on the*ban plot plan. <br /> ate 'r�----� Applicant's Signature—. ,���,. ' f�� J/f� i�,➢� <br /> �•s-^�rS-r- <br /> ill-At4ING DEPT.,1810 E.Hazelton Avenue • PUBLIC WORKS DEPT, 1t110 E. Hazelton Ave. , • LOCAL HEALTH DISTRICT. <br /> Property meets zoning requirements for both 1•PROPOSAL APPROVED SUBJECT T0; � ENVIRONMENTAL HEALTH DIVISION <br /> use and construction H A. Encroachment Permit required r''"'� ' 1601 E. Hazelton Avenue <br /> Yes No Zone `— B. Surface drainage established as s�h�own }J 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS �4 C. Fees A. Obtaining sanitation permit— <br /> A. <br /> ermit A.School district fee I© a. Connection Fee Q B. Obtain well/pump permit <br /> B. F'loodway as showb. Buy-irl-fee Q C. Change noted <br /> C. Floc@ fringe © 2. REMARKS i i , (�r`� ''' ► E- ��� 2. PROPOSAL DENIED <br /> _ _. . ' rte* -—r-- -----a 0 <br />