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<br /> SITE PLAN VOR PROPOSED RESIDEhrflAL DEVELOPMENT!: .
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<br /> certify that the above information is accurate to the best of my knowledge.TAM TIM[j Owner or[gi‘rborized Agent.
<br /> NAME(please print): 171-; ., _. -, --e.--h -' '.' Telephone# '545 3— 7 3 2-2 y if
<br /> . . ...„7,,,,,iicaursSignatum: ,..411111111LIWII:.,..... ....gallIENIIIIIPA41111. ' . Date:23- o-202D
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<br /> ApplicanesMaiiing'•'-‘ -,., 349t, /6,4/44af , ir(1 E.
<br /> City: .q.)cz fic101% Zip: 7 7$41- Applicant's email: .- c° C- I ,. C ' tai ql ,r-PA ii I-C elk
<br /> 5-31-14017
<br /> c2.3 3 cte/LeAdj
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<br /> tilS-b oici—30 l' ' / / / I
<br /> __........ ___ _
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