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. , ,, , • ' SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> D Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> i ' : .. .. .. .. .. <br /> SE.. . . . .. . . . . . . . . . . . . . . . . . .. . . . . .. . <br /> . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . ATTAC. H .ED .. .. .. .. .. .. .. .. <br /> . . . . . . . . . . . . . . . . . . . . . . . ,. . . . . . . <br /> . . . . . . . pA.G.E . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . , . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . _. . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . <br /> . . . . . . . . . . . • " . . . . . • • r • • • • " <br /> I certify'that the above information is accurate to the best of my knowledge. I AM THE [X] Owner [ ]Authorized Agent <br /> Name(please print): Austin Goodman Basi , My telephone number is:503-871-9736 <br /> Applicant Signature: Date: 2-4-2023 <br /> ___ _l _____,(... <br /> Applicant's Mailing Address:615 SW 7th St City: Zip:Sublimity 97385 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> A-33D Rev.05/2011,09/2012,2/4/2020 <br /> Page 4 of 5 <br />