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+ <br /> Plot Plan Application <br /> S11N A0AgU1N COUNTY DEPARTMENT OF PLANNING AND_BUILDING.INSPECTIDN ;z .,: <br /> r <br /> A.P.N. 2� �s ti <br /> —fid __ = <br /> Owner's Name _ - Suhd.name <br /> Address map a <br /> Ckty Zip ASZZQ - phone 9!2 3 bl/lot• <br /> Applkadl'e Name.. <br /> Census Tr, <br /> �] <br /> Contractor- [Owner Setback: j f T'':€ <br /> ,,` front %4± <br /> Address- ^'•"' -- — o r <br /> City Zip phone lett -F- <br /> t right 3 <br /> d �L <br /> Precise location of property �S rear <br /> `1?aS //f7G�]lM QP621 E Z29Cfl�t�lr�r�I� kk Yes No <br /> rs CD <br /> Structure address QTR&L. �7!/ 7Ei 6e�t T'�t� �--A�— water system <br /> /- <br /> Proposed use of atructure(s)��v = Yl.�-�_ ���-_ -- - - -- drainage system-0 L] <br /> DRAW (a)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 a <br /> (b) Atwfting streets arid other right-of-way arid/or easements tg1 Location of existing and proposed driveways and encroachmenits <br /> W The locations of all existing building and distances to lot lines {hI Levees,with the crown shown ` <br /> (d) he locations of ems i INf S THE PROPOSED STRUCTURE or ADDITION ' <br /> I I I I I I <br /> 7N- <br /> it <br /> Y r y <br /> - <br /> , <br /> - P' ^ T <br /> Applk:ant testifies that the property far which the APPROVAL is sought Is described as above and that all existing structures on the property are t '' ' <br /> ' <br /> ehewC�,m F.. <br /> the shore plot plan. C <br /> Data �� �'8r Appllcant'aSignatura YL/+r� � aG__ r _ <br />