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® ACC-ETYl5, <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Sitie.AddressI iJ o . J U L 2 p 2021 <br /> i LI ADR ION CO�JNTY <br /> ?otfo2'.g 7e Total Acres W$. NG II�ISPECTIOf!! <br /> TAXLOT <br /> QI Drawn to Scale: -X Not Drawn to Scale -OR- I square= feet <br /> . grit.yZ' WACOat OA 11.0 O . . <br /> tutfrenid <br /> qs'•J . <br /> ,Arl <br /> I • " liTi• " <br /> ..,00 -. . avieu. . vi . :orti.A179._ . ,, <br /> 4 ` .. b ti E`[S R2 ,p� lion <br /> • <br /> lOvtJ 't1'9 t - -- -3.fit, <br /> r,E1.0. . ipso,. <br /> ia. .. .. . . . . . . . . . . . t . <br /> . . . _ . <br /> ."APPROVED.FOR SEPTIO . . . . . . . . . . . . . . <br /> IN8TALLA 'ION ONLY" - - c . . ' <br /> It is the responsibility of the TATE"CERTIFIED <br /> Environmental Health Specialist <br /> applicant to coordinate threes • • • • - • . EH- " 02' . <br /> requiremehts with all others. <br /> • • • • • obert Goodwin <br /> • • • • • . . . . • . . r=- ?- i •.?` ,zI -,Z l- <br /> I certify that the above informed nu accurate to the best of my Imowledge.I AM THE I I Owner or . uthorized Agent.�} <br /> Uj <br /> NAME(picase:print):. 5 'j.;,'51e14744 Telephone; 5c3_ 732-Z 7 <br /> Applicant's Signature: Date 1,2o•—z( <br /> Applicant's Mall gAddress: /(5)6p t` 1�tr� E 0 / f <br /> City: 5q t owl Zip: ! 3,f 7 tpnlicanes einai: r.c c# tndrevi&3 ,c 1.. co/44 <br /> S-3l-e.2020 G:\FortnssScptictFORMStS.3laSeptitSystemSite lanRccuirenients for SITE EVALS_2020-07-20.doc <br />