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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT DE L PMENT Site Address: 3( ( Ss oV 1 a yt ro.. HeillAd-S 2 d <br /> p 11-1 E Z q C-!S 0 o 3 O p J Total Acres .7 1 <br /> TAXLOT <br /> El Drawn to Scale: •❑ Not Drawn to Scale -OR- 1 square= 1 O feet <br /> ] I <br /> etc �\•o),de-. 0 (a)�( I . .1 <br /> • es" <br /> l l I. <br /> •. . . . . . . . . . . . . .1:1 ill . . i <br /> Ii <br /> • . . • . . . . • , . . < . •(>.r • . � • . I . . . <br /> a ,... . . .• • •t is ;,sp• n . . . <br /> $ . r . o <br /> Q 3 <br /> �,o • • • • 0i,t'u.e wQ • . <br /> 2 7 • �O / <br /> an, <br /> • • •fie ��. ► <br /> u. . . . . ‘,1;\ ^°\ta Goa <br /> . i,� .5v L <br /> 0• <br /> .T <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ ]Owner or tf]Authorized Agent. <br /> NAME(please print): h 1m1'i CoriS r 4c,-1'lO✓\ Telephone# S 03—$7I —22(o 0 <br /> Applicant's Signature: „t/f Date: 571 8 7z d l3 <br /> CPT Mailing Address: I\g T S--fa k L <br /> S l (� <br /> City: 3 A If vh Zip: -17 3)7 Applicant's email: C O V1 Stl U 1C ryt0►1- �{'`d 0‘1rs E Q w c l ' C 0 cn.1 <br /> S-31-6-2020 G:1Forms\Septic\FORMS\S-3Ia SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />