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Yes NL <br /> 0 E- <br /> Structure address water System <br /> drainage system <br /> Proposed use of structure(s) <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) WITH DOTTED LINES, THE PROPOSED STRUCTURE or ADDITION <br /> -_4J <br /> J <br /> 7 <br /> I <br /> North <br /> -2 <br /> J- <br /> 7[7� <br /> 7 <br /> J <br /> 77 -A- <br /> 1 <br /> J <br /> —3NZ A------a <br /> J. <br /> -4 <br /> L <br /> A <br /> -77-77 <br /> —4 <br /> L-74�- H- <br /> , f 3 <br /> -- <br /> 7 <br /> `7--ff <br /> 4— <br /> f <br /> I T <br /> 7 <br /> 77- <br /> —r--T--- <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 /> Date Applicant's Signature <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 1. PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> use and construction A. Encroachment Permit required 1601 E. Hazelton Avenue <br /> Yes F] No F--) Zone B. Surface drainage established as shown 1. PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPECIAL CONDITIONS C. Fees A. Obtaining sanitation permit <br /> A. School district fee a. <br /> Connection Fee B. Obtain well/pump permit- <br /> B. Floodway as shown- F-1 b. Buy-in-fee C. Change noted <br /> C. Flood fringe 2. REMARKS 2. PROPOSAL DENIED <br /> -�J1 <br /> #r <br /> tj <br /> D. Noise impact Q 3.REMARKS <br /> 3. PARCEL MAP NO. date by <br /> 4.RE I MARKS date' CONTROL: date <br /> -by <br /> FLCO�i <br /> date- by by (P BLDG_ INSP. 14 t8Y <br /> "I —_ TT-1 j-A TY—a.lT <br />