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11853094
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11853094
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Last modified
9/28/2023 1:05:40 PM
Creation date
9/18/2023 12:14:31 PM
Metadata
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Template:
Permits
Permit Address
36155 NIAGARA HTS RD SE
Permit City
Gates
Permit Number
555-23-004269-PRMT
Parcel Number
094E28CB00300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: SG! ss io i ct ex ru4. }-lam s <br /> � 2SCtt�r'�3a / TEcERFIED <br /> Total Acres . t t Waste Water Specialist <br /> TAXuAT . '1�`g EH-W10147692 , <br /> Drawn to Scale: -CI Not Drawn to Scale -OR- .1 square= feet: �,_.�d • <br /> -1 ji,,i,,bigaidal: , <br /> Kimberlee A.Aldrich <br /> ?co(3-e�' I;.lc.... <br /> t <br /> -----\\/ , <br /> • <br /> o� <br /> I. <br /> Val .. i \ „L <br /> i. <br /> ' * — s <br /> `* • • • • _ —• — <br /> 'c•� .. o f ti <br /> I certify that the above Information is corte to the hest of lay knowledge.1 AM THE 1 1 Owner or 1N Authorized Agent. <br /> ; <br /> NAME(please 1+ Oil S-)1UE>4/on `fetephone# O-3,-'3'7 i-2. *Pt <br /> Applicant's Signature: Dote; Z 2d z3 <br /> Applicant's Mailing:Address: - j i1 C)5 Sk'k4-0-- ' <br /> City: 5Okt£ 6 g-zip: 9 73 1 7Applicant's email:.'a1/4 4-11AC I-'C,,-1,cl'?W i i :o wi,,r j.Ltaw+ <br /> S-31-6-2020 G:1Forms\Scptie\FORMSa,S-3 to Sept cSystemSitePlonRcquiremcnts for SITE E VA1.S 2O20-tt7-20 doe <br />
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