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10512767
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10512767
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Last modified
6/29/2021 9:41:52 AM
Creation date
6/25/2021 2:20:31 PM
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Template:
Permits
Permit Address
10043 NORTH FORK LN SE
Permit City
LYONS
Permit Number
555-20-009347-PRMT-01
Parcel Number
093E11AB00100
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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0 -co g 3 y`7 <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address:fMLt3 NOrti% F6 rk 1.-CON C- 5.E. Lycms Or. 9J35 <br /> Township Range Section Tax Lot Total Acres 2, 7S' <br /> Subdivision Block Lot C ` l l <br /> Drawn to Scale: -D Not Drawn to Scalesquare= WiQ feet 1 1 <br /> J2 _ -OR- et <br /> JAN 201021 <br /> ------Ir <br /> MARION COUNTY - <br /> BUILDING INSPECTION <br /> . . <br /> _ a 4- <br /> STATE'CERTIFLED <br /> 0Waste Water Specialist <br /> 0 l `'� Eh-W10147892' I - <br /> • <br /> Kimberlee��Ann Aldrich.._ <br /> �_� <br /> • <br /> A.:_ <br /> , HUSC `S . N. <br /> . tl 7 _�a <br /> 51~,.eo1 �D <br /> Ir . . . . . . _ . . . . <br /> . ,��'�- � �e.� .i�DOC? ��14,E- <br /> /f1 "-,,,\'` � r <br /> I . b- . , .j., 720A k . . . . . 14 . . . <br /> . . . . . . . . . . . . <br /> :,4:2S • . 4- . cacee-i'� b <. . . . . . . . . . . J . . . . <br /> o. <br /> sit <br /> 1 certify that the above information is accurate to the best of my knowledge.I AM THE I I Owner or 19 Authorized Agent. <br /> NAME(please print): 61,11,.-At- HOYA.ceS Li,C, Telephone# cos -v7/-3000 <br /> 11 <br /> Applicant's Signature: -� '" 2� <br /> - �.__.._._ Date:actvt , ( 21 <br /> _ Applicant's Mailing Address: 2-420) ' e.)0 k ICJ< C.,, Rai t. Rt. r <br /> City: :d07 leArn Zip: `I 7 3$ 3 Applicant's email: 4,kc4,a 1, trc90.-% <br /> S-31-1-2017 <br />
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