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. if.r:IECEli \Vitri <br /> C� PLAN FORPROFOSED RESFERATAL I;EV1 LOPMENT <br /> Site <br /> Address: l ( /,r4.lAg <br /> v-v,•,_ (} 9, S r A�, o OCT 0 3 2221 <br /> Township Range Section Tax Lot Total Acres 9VIARION COUNTY <br /> Subdivision Block Lot BUILDING.INSPECTION. <br /> 01 Drawn to Scale: D© Not Drama to Seale -OR- I square= feet • <br /> / <br /> i lt .. r� <br /> A. s-......_.+.gym.•-�.nw.wq n+.. .- '+T"'c- I <br /> 1f3L4� t�? IA - I ' / <br /> (l( t <br /> J` ki, 2'Att i't <br /> c ' 1 t <br /> A - <br /> , ' - ._---'- '1.- --'..,::,,,,,.3 <br /> : 7--..,,kr1:". _ _."_-::,„;._._ti;712 ,,..) \ ,.1f, - - - <br /> *: /1-1- 5. / \ eti:\..si; .. ____________________). \ <br /> o <br /> , 0. , \ , <br /> ATE C�RTIFIE®_ - <br /> • <br /> •ST- (2'eje(41t1/4� - _ . 1 . Environmental Health Specla►ist - _ _ <br /> � f, EH- -1 0654 <br /> . . . . . . 1 ,•e-- Robert Goodwin . <br /> - APPROVED FOR SEP i 1 Septic Site Plan <br /> • - 'INSTALLATION HALL-AT40i� i ! 555-21-010181-AUTH <br /> • - .it is the responsibility of th`_ _ EGGERT,JONATHAN A _ <br /> ..applicant to coorclirlai t�.., - 9565 ELKHORN WOODS CIR SE, LYONS <br /> , r equlrerrients with-all:others.. <br /> 093E02DD00500;0.80 acres <br /> I <br /> It cell* above information is accuratete the best of osy L:cr.mileage.I1 TEE E I Owner or L Aa aerized Agent. - <br /> NAME(scam print): ti..0111' ?bA. C-(D\ft-E • e,p C..3 Telephone* 5-0-A a- W7 3 —7 d 5.-7 <br /> Applicant's Sigaa ti- IQ}' Date: / 1 •—� z1 <br /> tnre: . <br /> - , .., �. <br /> Applicant's aii ng Address: 41 e f' ;Gs, <br /> cify:co A\t brk-b Y -• 71P: ei 13 _ Applicant's email: r S t o 0 0...A, CA,OR <br /> S-31-1 2017 <br />