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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres <br /> Y . FI <br /> N 1 (,3 b1 C NSCPDE ifW' g <br /> - <br /> LL . • Str^v roru ,o2 q sI 21-0120'49- vv-k0 <br /> • . DEC 09 2021 <br /> • - MARION COUNTY <br /> /r iZ6 c , .-- __ BUILDING INSPECTION <br /> — — — esiir . <br /> '.r , gXISTING� <br /> — it 'i • g „CII&E <br /> 5":f9b' Li 7JF,,� t. KISTH,J-- <br /> / .\\ MP' � elt I CA E <br /> / . roo/ Bes.2,4 4,z+ <br /> • .Lzl / . \ WELL. ,` - <br /> 71. < , : i2. 1. ->it <br /> -- i_VI <br /> IE�JED FOR CODE— - <br /> y s z I <br /> T r E'xrsfii.�� } 9OMPLJANCE - 2O 7 / <br /> zy <br /> e New pa /"� /)�/ j <br /> .D rtCS �`L ` t�&64.1 -xis•ri4lr •:1 , OREGON 2l,/6?!I/�%j ( <br /> r •� I S'itiRAE <br /> 3. ', psi ._ ECIAL.Ty CODE <br /> P OPDXxI . . / <br /> I. t , <br /> Wiafl el& #6 I <br /> 1.1 r ' 140Med i i - / Z— i O bbq <br /> f 4- Z B -.-A1 �C <br /> CERTIFIED <br /> PL S EXAMINER <br /> 4%Ile <br /> i s <br /> HE ` 1USTENS <br /> I certify that the above information is accurate to the best of my knowledge.I AM THEj�4v fer or '''•r .`i • Agent <br /> NAME(please print):,qn 7+I(4)) ) .Ja0 port 6-Cc hb e/S Telephone# 3" 9 "y 66s <br /> 1 <br /> IS 5(airy) 60. (gory, I <br /> Email Address:��,�bh e m(.13. <br /> Applicant's Signature: Date: I�l 8l.1 0,1 <br /> Applicant's Mailing Address: P. 0 • 3a x /3 31 city i,`/U (ri-or,zip: 973 c>1 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) <br /> F:\FORMS\ADMIN\A-33D RES SITE PLAN.DOCX rev: 05/11, 9/12, 3/15, 3/18, 4/21 <br />