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10512289
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10512289
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Last modified
6/25/2021 8:00:13 PM
Creation date
6/25/2021 11:25:45 AM
Metadata
Fields
Template:
Permits
Permit Address
34020 RAILROAD AVE SE
Permit City
GATES
Permit Number
555-21-003820-PRMT-01
Parcel Number
094E30 01600
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> ARR 13 2021 .� <br /> Site Address:31/030 <br /> �� � � �UM!��,��� N�.����00� <br /> Township % Range `� Section&i Tax Lot J((� Total Acres <br /> Sul-".vision Block Lot , <br /> . Drawn to Scale: •❑ Not Drawn to Scale - 1 square= fPpt <br /> Se tic S' <br /> n tte Plan <br /> r . ,cs • <br /> , � 555-21-003820-AUTH <br /> a <br /> • ,. „ .,i I CHAURAN,CINDY <br /> t .t• " 1 1 34020 RAILROAD AVE SE, GATES <br /> � . f �p``1 1 . 1 094E30 01600; 1.10 acres <br /> Asir-sA-T <br /> a-''•Ct'e. lC <br /> e' 1041 <br /> ,.• �� Pti I <br /> • <br /> • <br /> • <br /> ( .. `i ' ' APPROVED QS-BUILT <br /> I Nyti:, A - -� DRAWING . <br /> qo' ztav -- •--.. , i i~: _ •�-_ ../2a;,,, F-el c�. . <br /> an -75' r ',ra.- F-_ d <br /> f <br /> -- ----.\ - -- -,, 111, <br /> ti <br /> • LI til <br /> ui <br /> �{ <br /> ._I' ' Q 1 iJ i" • • S] TE'EIRTIFIED <br /> Environmental Health Specialist • <br /> e. `/I217, <br /> �,,• - <br /> OVE O OPTIC <br /> . . iNSTp!�L� 10N the • <br /> Robert Goodwin' <br /> o sibili • <br /> itis the resp' : .i r <br /> applicant to ordinat $. j j; 6/ / :( <br /> requireme v�ith ail others. i : ,� <br /> • is • <br /> D• <br /> i 54 I i t , <br /> j',..1...,c <br /> I certify that the above t: ...,ation is accurate to th best of my knowledge.I AM lilt.[ j Owner or[ ]Authorized Agent. <br /> NAME(please print): (/ /1 k./..?/ ' ,(,A/ Telephone# c ', QQ/ /se9A <br /> ' Applicant's Signature: / ice%�•`i �/� Date: ' <br /> / �-/ <br /> Applicant's Mailing Address: L.—? 0 d./a.,,:-/44,.-.-,,,,,d z-Le <br /> City:—�,?' 4 Zip: 92 (--71 ,,Applicant's email: eliz,.!'22/V ' C OO/. Uif%-i <br /> S-31-1-2017 <br />
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