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11589001
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11589001
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Last modified
6/26/2023 12:07:35 PM
Creation date
6/23/2023 11:03:31 AM
Metadata
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Template:
Permits
Permit Address
12630 RIDGEWOOD RD SE
Permit City
Jefferson
Permit Number
555-23-003199-PRMT
Parcel Number
093W24D 02500
Permit Type
Septic
Status
Ready to Film
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bp_ \,t\ <br /> ICI =M _ 0 <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT APR 1 8 2023 <br /> Site Address: 1,�6 b�� �w'otza 54 T r e ,¢ MARION COUNTY <br /> 0z„c0 Total Acres I076 BUILDING INSPECTION <br /> TAXLOT <br /> D Drawn to Scale: •1E'Not Drawn to Scale -OR- 1 square= feet <br /> . . . . . . . . . . 'LI o,btu . . . . . . A . . . . . <br /> 4. <br /> ` !y <br /> t .t ly <br /> 2,p.3s + g 1j3Jf <br /> 41'. , cS.:L• ,.!, i <br /> t ' Sv <br /> . . . . . <br /> _ . . . . . . <br /> Ell <br /> ..,.. <br /> J <br /> 0_ <br /> d <br /> r-0, <br /> awn <br /> Q <br /> l� <br /> ' vjZn <br /> , <br /> . . . . . . . . . . . . . . . . . . . . . . . . . � . . . <br /> r -,.,,.,__ , Sl,9 . . . . . . . . . . . . . . . . . . . . <br /> 460- g`d40000.tads , . . . . . . . . D..o.q .5G. . . . . . . <br /> 'certify that the above information Is accurate to the best of my knowledge.I AM THE( j Owner or 4Aathoroed Agent. <br /> NAME(Please print): Ya n / y , Telephone# 541—9 24-6 2 S'1 <br /> Applicant's Signature: Date: q-/�-7i 3 <br /> Applicant's Mailing Address: ter) t4 I s1- s C ,/ L / /_ / !�,__ <br /> City: ff't Zip: j?3 ZZ- Applicant's email: f� 13_ Ce p 7'c � )/ui net f/ �'�{ <br /> S-31-6-2020 G:\Forms\Septic1FORMS\S-31a SepticSystemSitePlanRaquirements forrSrTE_EVALS_2020-07-20.doc <br />
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