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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square= Feet Not Drawn to Scale: Total Acres - <br /> .1 . ,..„---, . <br /> / iti T <br /> • <br /> • <br /> • <br /> I THIS SITE PLAN WAS PREPARED BY <br /> . . • THE APPLICANT AND-USED FOR <br /> REVIEW OF THE EXISTI.NG SEPTIC <br /> SYSTEM. ACCURACY OF THE SITE <br /> . . . . . . . . . . . . . . . ......AN.CANNOT BE GUARANTEED.. . <br /> a . . . . . . . `,cam I/ <br /> 4- q f <br /> . . . vfr,\\D -)4 / 41".` .) PI_ -t <br /> —.,-, . . al....----V , • • O.i 4->/•` › - '..' . . . . . . . . . . . . . <br /> 11111 ?I-4 CI <br /> u` �� 'S( pt�‘ tie �\Ci \.`\�\ <br /> `�. . L:FLiThfir: LP <br /> -V . <br /> ) --= . .' . . . . . . . . . . . . . . . . . . . . <br /> 1 'awl c,,c e 1 <br /> taco,- <br /> • <br /> .345 c-3 ws <br /> e.s.,-rzrrv,,,,a <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE [Owner or[ ]Authorized Agent <br /> NAME(please print): Oa'.scie, -.11•,1 k Telephone# c")3-2(,Cl .\y 6II <br /> Email Address: • VL c [ ' <br /> Applicant's Signature: Date: 5 0'0 - 23 <br /> Applicant's Mailing Address: ' ✓CJ� 10 k•15 4\N � City 11-u-ri*ui l 1 E Zip: /73 <br /> 2-5 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> • <br /> PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) <br /> F:\FORMS\ADMIN\A-33D RES SITE PLAN.DOCX rev: 05/11, 9/12, 3/15, 3/18, 4/21 <br />