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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> o Drawn to Scale: 1 square= t 0' Feet Not Dram to Scale:Total Acres s, <br /> .27/ 'rF <br /> 3) 4 NN t=(EU'� 120‘ <br /> 0 <br /> II u1 <br /> a <br /> 4 11 • r= <br /> A- ra <br /> 3. ORENC 0' <br /> C5E. ..L ' . . <br /> sys-rV,k <br /> 74, •Q -� <br /> 13.4 <br /> ▪ . . 'CI <br /> WELL- _\EI STING. HOME <br /> y5 <br /> ELECTtr I G _ _ TbRo?OSE:b ' r, <br /> ▪ �_ Rs - ---- '$Ur•LDiiv& . . . . . z <br /> . . . . . . . . . . . . . . . . . al <br /> y5 <br /> I <br /> E -94— <br /> I certify that the above <br /> Ainnfor information is accurate to the best of my knowledge. I AM THE [ ]Owner' [ ]Autl r imed Agent <br /> Name(please print): !�I My telephone number is: 5in 4f0- ?(p FcC5 <br /> Applicant Signature: _U � Date: A -30- <br /> Applicant's Mailing Address: ��7 1-4 ;4} 7 E, '�C �/ SE City: R UMSI)f LLE v3 <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 />