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o <br /> • 5 <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT {_ <br /> Site Arldiress:. 1 `�� PGc. — .. l� +S . o`t id <br /> 'p3 3 f--Piet `ir <br /> 1 <br /> Township: Range Section Tax Lot Total Acres E c E [ly E • li <br /> Subdivision Block .. . Lot <br /> in Drawn#o Scale:: .,. C) Not.Drawn to.Scale -OR- ' ] square=,_feet APR 2.s 20:23 <br /> + <br /> tl <br /> ° MARION COUNTY <br /> ' ' fiUlLD.JNCi IIJSPECTI:ONI <br /> :11, <br /> .. <br /> • <br /> ..r.'" 1: <br /> 17(.. . . . . . . . . . . j . jib, <br /> - STATE CERTIFIED. - - - . • . - _ Ar ., •._ <br /> Waste Water Specialist <br /> EH-W10147892 1 - , <br /> Kimberlee A.Ald • :0 D. <br /> . . . . . . .. . . / . <br /> I <br /> i - * . ' . ikk-k--.01/4J.—... tic/. . . ..) ____ <br /> C ♦ V <br /> ia <br /> I certify that the above information is accurate-to the best of my knowledge.I AM TEE[ ]Owner-or.[ ]Authorized Agent.. <br /> NAME(please print):.... . .... ... . Telephone <br /> Applicant's Signature: Date: <br /> I <br /> Applicant's Mailing Address: . . . .. .. <br /> City: Zip: Applicant's.email: <br /> •S-31-1-2017 <br /> r <br />