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11990166
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Last modified
7/23/2024 8:00:06 PM
Creation date
12/22/2023 2:52:36 PM
Metadata
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Template:
Permits
Permit Address
5726 FRUITLAND RD NE
Permit City
Salem
Permit Number
555-23-007095-EVAL
Parcel Number
072W28BA00302
Permit Type
Site Evaluation
Permit Doc Type
Permit Document
Status
Ready to Film
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- ] <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> o [ECCEOME <br /> ySU AUGG 211013 <br /> Site Address: 5726 Fruitland Rd NE Salem,OR 97317 <br /> I <br /> Total Acres 1.75 <br /> LDI INSPECTION TAXLm• <br /> ® Drawn to Scale: 1"=100 feet •O Not Drawn to Scale -OR- 1 square= feet <br /> / N <br /> / \ <br /> T Fruitland Rd(40') / <br /> V <br /> vi <br /> k `.. _, 1 Proposed .. . . . 1 • <br /> `..,•-.. • , Proposed , Shared Well <br /> . . 20 ft----a t.t__ _; o <br /> - Test Hole#1 \ . . . / . <br /> 75 ft. / <br /> . <br /> . . . . . <br /> 20 ft ---k Test Hole#2 .-...- <br /> 100 ft.from a C'eek-feat till— <br /> Fruitland Creek Ett{at► <br /> (," <br /> N <br /> . . . . . . . . . . . . . . . . . . . . <br /> I certify that the above tnferantlon is accurate to the best of say knowledge.I AM THE gOwner er I 1 Andissized Agent. <br /> NAME(please print): Op n 0\/4fil SIP fre,i Telephone# (5253) 5 / -4#$3 <br /> Applicant's Signature: / hate: 9(l o l 102 3 <br /> Applicant's Mailing Address: ;4 4c 4 E <br /> ct� <br /> City: ' Zip: `n?"3 l7- Applicant's email: d/Iopey 5";QpeA/42 5MA; 1.tOM <br /> S-31-6-2020 d:\Forms\Septic\FORMS\S-31s SepficSystemSiteplanRequirements for SITE_EVALS_2020-07-20.doc <br />
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