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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT nit- <br /> Site <br /> Address: <br /> Township Range Section Tax Lot Total Acres <br /> Subdivision Block Lot- ilEpEgyE <br /> 1:1Drawn to Scale: •❑ Not Drawn to Scale -OR- 1 square= feet <br /> APO 072021 <br /> MARION COUNTY I <br /> . . Sc.—.,----:\--\c �. C..-L;r ,.� . . . . BUILDING INSPECTIOp! - <br /> 7' {. • - <br /> •▪ "APPROVED FOR SEPTIC• _ - <br /> INSTALLATION ONLY" • `� <br /> • It is•the responsibility of the sJ. > <br /> applicant to coordinate these , - I- <br /> • requirement.with all others. ,e <br /> ,nRf . <br /> • • • STATE•CERTI•FIED . . r <br /> Waste Water Specialist <br /> ..‹).3, EH-W10147892 / <br /> Kimberlee A.Aldrich S -V,L U t' <br /> '12 . . . . \ . . . . . . . 4,,,,,.......„ <br /> q- <br /> '... --b - . -6 • • <br /> 1. _t <br /> . . �• <br /> • <br /> _. i ? <br /> ( • / v'•. r <br /> F+7'I <br /> I certify) 44,:at th• a i ormation is accurate to the best of my knowledge.I AM 1'liE[ ]Owner or I.]Authorized Agent. <br /> • NAME(please 1 rint): Telephone# <br /> i <br /> • \ <br /> Applicant's Si_ t,re: • Date: • <br /> Applicant's -•!A1_Address: <br /> City: Zip: Applicant's email: <br /> S-31-1-2017 ` r� <br />