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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> o Drawn to Scale: 1 square=I F , Feet Not Drawn to Scale:Total Acres <br /> I\‘ <br /> PI: <br /> 27880 <br /> r,, North . <br /> 2 `' Sanytiam <br /> c . <br /> • HWYSE <br /> 27750 82 <br /> • . River Rd SE . . - . . <br /> cel . - <br /> . . . , _ _.. <br /> " d ' '4)• 1 t.,se ..-L.--6 5)[I. • • • • • i' • • . <br /> .-12$ ' • /NN River Rd.SE <br /> to <br /> • I to <br /> i \l/ <br /> Ni <br /> ' I certify that the above information is accurate to the best of my knowledge.I AM THFZX Owner or( I Authorized Agent <br /> NAME(please print):.I v COC , ,aa lk INAC Telephone# ,S03 —Sig 0 ^ 401k17,_ <br /> Applicant's Signature:` �e A,,a�.,� �IV�1��� Date: -51/2,3,/Z7 T <br /> Applicant's Mailing Address: 3 0 , ex3xe if,Le S City:Me Ll CI }u, Zip: 97. (aC) <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> ' PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) Date: <br /> I <br /> j <br />