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an Application �. �._ _ .- __.:. . - _. <br /> AOUIN COUNTY DEPARTMENT OF PLANNING AND BUILDING INSPECTION 0- <br /> Owner's <br /> A.P.N. <br /> Owners Name ZI S/E /�• BR,6 w•y <br /> � suod_name <br /> ;..4.. ._ Address PIF <br /> map a <br /> city A' zip 95336 phone 2-3923,23 bl/Iota <br /> -/ ..._ Census Tr. <br /> Applicant's Name "CLsi£ �/Y Setback: <br /> Contractor Q�Owner <br /> t• 176� tront <br /> )G SCM/LI ALE <br /> Address. <br /> -- <br /> city /1/tAAiitcA, zip 95336 p.. ,2,32zz3 left <br /> ;._ -•--� Q - -- right 996 Precise location of property • ✓ r rear S <br /> 1r5lFfTR/Pr!/ fi7h >< ' /,✓GiI/V /4dt`. res No <br /> sewers O <br /> Structure address R water system_ <br /> i <br /> �R/ drainage system <br /> DRAW <br /> use of structure(s) <br /> r DRAW (e)Location of minimum sewage disposal area for septic tank and leach lines <br /> la)The lot or parcel involved,showing shape i dimensions (f)Irrigation or drainages ditches,waterways and drainage ponding areas <br /> (b) Abutting streets and other right-ol-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 III)Lowes,with the crown shown <br /> (d)The locations of existing and proposed septic tanks and swift (1)WITH DOTTED LINES,THE PROPOSED STRUCTURE or ADDITION <br /> - _. <br /> -Ni <br /> #': <br /> - — ZA <br /> EZ AIL <br /> `l It- <br /> -KI - ------ <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 /> f: shown on the above plot plan. ' <br /> ,.. <br /> Data — , Applicant's Signature__ A�_ <br /> t •PLANNING DIV. 1810 E.Hazelton Avenue .PUBLIC WORKS DEPT. 1810 E.Hazelton Ave. •LOCAL HEALTH DISTRICT <br /> .Property zoning requirements for both I.PROPOSAL APPROVED SUBJECT TO: ENVIRONMENTAL HEALTH DIVISION <br /> +, use and construction r " A. Encroachment Permit required 1601 E.Hazelton Avenue <br /> YesNo Zone L�O B. Surface drainage established as shorn 0 1.PROPOSAL APPROVED SUBJECT TO: <br /> 2.SPEC 0 CONDITIONS C. Fees <br /> A.Obtaining sanitation permit <br /> A.School district fee a. Connection Fee— <br /> M B.Obtain well/pump permit <br /> B. Floodway as shown CD b. Buy-1 C.Change noted <br /> C.Flood fringe O 2.REMARKS 2.PROPOSAL DENIED <br /> "!+ <br /> D.Noise impact <br /> 3.PARCEL MAP NO. 3.REMARKS <br /> 22 <br /> K <br /> te by <br /> _•i 4.REMARKS 2V date - b1' <br /> LCOD CONTROL'date <br /> i^s+Si..- .•'+1-'.. dale by - (9/83• Da.INar. 14 <br /> Plot Plan Valid Until��qT — <br />