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11190192
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11190192
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Last modified
10/10/2022 3:04:25 PM
Creation date
8/11/2022 4:44:52 PM
Metadata
Fields
Template:
Permits
Permit Address
360 CENTRAL AVE E
Permit City
Gates
Permit Number
555-20-009082-PRMT
Parcel Number
093E26C 01000
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT v C I V <br /> Site Address: YC'O E C�,07;,.. f A ei G - f / �n DEC 14 2020 <br /> • ✓ �LMARION COUNTY <br /> Total Acres TAXI OT „BUILDING INSPECTIONPECTION <br /> 4 Drawn to Scale: /��- /00 •O Not Drawn to Scale -OR- 1 sc <br /> . Septic Site Plan <br /> • 3 555-20-009082-PRMT <br /> • t GULLIFORD LT <br /> 360 E CENTRAL AVE, GATES <br /> - c7 ?8•b- Z•2 . . . . . • • • <br /> 093E26C 01000;2.47 acres <br /> am; <br /> .._y,� <br /> y <br /> `. .dr •t�,4,...ia <br /> . �: . a ;O f <br /> say ...... <br /> � \ •, ' c` , <br /> v. <br /> S'. .• ' ,-.'. .'-';1•., :,..''...• ,. ."...,..._. .4. . . . , . ,,: '. . . • •': . . \ . ''''. ' • . • • • • • <br /> I certify that the above information is accurate to the best of my,knowledge.I AM THE[ :]-Owner or(4Authorized Agent... . . .. . .- <br /> NAME(ple'ase print): ,4 i gci .. _Telephone# Pt! LjQq "�J 1Z . <br /> hcant s Signature: - = _ - Ike: /0 2 ZQ <br /> APP7- <br /> Applicant'sMailingAddress: i QV o1G 63Q <br /> City. I-L°6Ai10If Zip: 9'7,3 5 s- Applicant's email: /PG k 4 ire"'AA;Merl&yOf Ad<e,. 1 0114 <br /> S-31-6-2020 G:1Forms\SeptiOORMS\S-31a SepticSystemSitePlanRequirements for SITE EVALS 2020-07-20.doc <br /> \ . <br />
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