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023-CD‘la3 c. <br /> , ,C-EVk �. <br /> SITE PLAN'FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> . <br /> J5\L �t l t f�k -Dr C�'t, �uN 9 �0L) <br /> Site Address: <br /> D� � ,1 2 ��. IVIf�RIOIV COUNTYO`��-W�3���Z� Total Acres ` �UILING INSPECTION <br /> TAXLOT 2 - <br /> liJ Drawn to Scale: ..J 0 •❑ Not Drawn to Scale -OR- 1 square= feet <br /> Ai. as <br /> * p <br /> • <br /> . i . <br /> • <br /> .0), <br /> . . <br /> . .0, . <br /> .• . . . .,...duil.,,,wasidiamiE22, ..smargagaggiegtzp, <br /> • • • • . ; <br /> . . .. . <br /> ., <br /> . . . <br /> . . <br /> . . <br /> . . . . 0., • . ' ' ' " ' - • • • • " • . ' ' ' ' ' ' ' ' ' <br /> . . . ...2 • <br /> • <br /> • <br /> . • <br /> �� . <br /> . • i/r •Wit\ . <br /> \ . . . . . ....,,41P- . . -4.:;,,,v, . p <br /> . . . . . . . . . . . . . . . <br /> . , . <br /> . . .� . . <br /> _. ,,,. • <br /> :-. <br /> tzt tV 1�k- . • . • . . <br /> I certify that the above informationis accurate to the b t of i y knowledge.I AM THE[ ]Owner or[ ]Authorized Agent. <br /> NAME(please print): ' SU. S� ,?p�l(--p S Telephone# $�3 c713—�v 33 <br /> Applicant's Signature: ..... j.k 4 fl V' ff Date: 1 /.B/2-3: <br /> Applicant's Mailing Address: J p Sw q I 7 /� <br /> City: I)�I , Zip: (' W Applicant's email: !Q 5Sl cC[ @ att - c (.. e..0cvi <br /> S-31-6-2020 G:1Forms\Septic\FORMS1S-3Ia SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />