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12002059
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Last modified
1/5/2024 8:00:23 PM
Creation date
1/5/2024 12:53:19 PM
Metadata
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Template:
Permits
Permit Address
11174 WEST STAYTON RD SE
Permit City
Aumsville
Permit Number
555-23-000283-STR
Parcel Number
092W13A 00600
Permit Type
Structural
Extra Information
Site Plan
Permit Doc Type
Residential Plans
Status
Ready to Film
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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS v. <br /> �J\\(1 E <br /> ❑ Drawn to Scale: lsquare= Feet Not Drawn to Scale:Total Acres <br /> 7.cm <br /> . . - <br /> . ' ' ' ' ' <br /> • <br /> (�UQs Sf ��,� 6 . Igo-• • �Y <br /> O1NPE ' <br /> . '' •. D -4 3 . �0.4\ . 304 . • • ,t o�N s <br /> • <br /> . . . i <br /> •". Z' <br /> L -,. <br /> • <br /> fb;a�9 . . . . . 9 . �. �. . . 42:. . <br /> • , P:S . ' <br /> . . . • A 4... N., <br /> • ,,,‘, . . ,,, ,1, . . . • <br /> S\-1 g <br /> . -(0.1., - p, - - - •.,, <br /> -11 <br /> C 1 LI] <br /> • <br /> 1 <br /> �d <br /> EXisT1AJ°• I <br /> C. ' AAt LQ sezu 11 ?vv.)t4. <br /> . . .. <br /> dam. <br /> . Pf2a eTi. rs -rtv�a11. . . . . .. 1 <br /> . a . . . . n.c�ct. . . . . . . . . . . . . � <br /> c <br /> • • APPROVED BY . . . . . . . . . . . . . . . . . . . <br /> Cnnlri tri� . { . <br /> I certify that the above information is accurate to the best of myknowledge.I AM THE Owner or Authorized <br /> g (� [ ] Agent <br /> c-) <br /> NAME(please print): Dal ryTh-' M .4-‘..., Telephone# <br /> ,503-93e)--6 <br /> Email Address: P.r5 2(p 4.9 Q 4 oL , CD n1 S <br /> Applicant's Signature:. P J Date: C/ /l a /Z3 <br /> Applicant's Mailing Address: I 1 7`f X. S-i-axtiervi f .56 City/it/Jost,//IC Zip: �32 <br /> S <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: . <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 />
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