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1 RECE11VE10 <br /> APR 13 2021 <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> 3Lic )RJj R � ,4l� 00 �2 BUILDING'iCOUNTY <br /> Site Address: /� j <br /> ECTION <br /> Township g Range '7 F Section 30 Tax Lot //( l Total Acres /° / <br /> Sul-- vision Block Lot <br /> . Drawn to Scale: •❑ Not Drawn to Scaled-**- 1 square= _feet <br /> • `` Septic Site Plan <br /> tins <br /> . 555-21-003820-RUTH <br /> f �`'' 1 CHAURAN,CINDY <br /> • j�l 1' L <br /> r 34020 RAILROAD AVE SE, GATES <br /> Mak Di [FRf�'� �.,"jI G r` 094E30 01600; 1.10 acres <br /> P I _, <br /> ` %i <br /> --,11-)c [.--,"'."1,, , o <br /> ,[ .. rPiTIgY ... i <br /> ri 7 <br /> ,,,„„:,... , 4 . ,.... , .''' . f`. <br /> ,Ct(2ta� 1. _ - ' -54 ;_,'nen.- Fief • • <br /> 4 I ter, 6:1 } <br /> i g f Gt0O0 ' !.I <br /> �� <br /> 0 ; f STATE CERTIFIED <br /> i i Environmental Health SpedaIIst <br /> o <br /> I c PTIC 9 ' , . . E ..H-S-10 •i <br /> 11`1STALL �`C'1®N I! <br /> � ` i <br /> S ® sibl{1 "� �� the j► . ' Robert Goodwin. ' <br /> . 1t [S the re - .! <br /> ordinat- -1+_= 1.1 <br /> . . applicant to ! � <br /> • . requireme6'tl <br /> with all others. i ; <br /> i . . . . . . . . . . . re- <br /> 1' l ue.);Al • <br /> Ny. <br /> IN I <br /> I certify that the above C nation is accurate to thee best of my knowledge.I AM THE[ 1 Owner or[ 1 Authorized Agent. <br /> NAME(please print): ( 7 /i ('GL /l, Telephone# L '.: W// /6` c- <br /> ' Applicant's Signature: G!z ��i �4 %/ �� Date: ' 4/7-7/ 017; <br /> Applicant's Mailing Address: f%6<ar1� a- 'Z4 a' . e <br /> City: �.��1� Zip: 9�f 3 AApplicant'semail: e/aU.fa/Vs/900,2i [�j,rj <br /> S-31-1-2017 <br />