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/- 0/z3 -i - ma o. Ei,CINEDSITEI' N MUST SHOW ST.T.PR(1PF.RTY T TNE.S AND DIIVVIEIJI�ISIQ �.�� 102• Ql uEare.LA1,1u vL,a SHO - - DEC 21 C 1 <br /> r <br /> ❑ Drawn to Scale:1 square= �' Feet Not Drawn to Scale:Total Acres <br /> z.7' i - Px;r. -1✓14 Few r9 klik i nil C UNNTYON <br /> r lkUILDINC IWPEC <br /> A , T S <br /> /0 , . . �Prcve01, if, 7 <br /> v rat(le w • <br /> ct - • !e41 • <br /> �l t <br /> r-4 1:n1=ry h vv <br /> i -1--- 5o• -- - <1 51 pr<o pose_fi <br /> c.-i iV)o 6;l e_ Fro fir/- ., t <br /> = t T.K. •T REVIEWED FOR' CEO�� <br /> (ft• •' .2 6' •• •• •• COMPLIANCE' - .20 j•�t 4'j <br /> .I. . . OREGON ' ili'DT . . . <br /> s•o•cz• ,,., .., ,_______,._,_ ,—„,,„ . s....._• _........_,......-- . CODE <br /> 1 Nf ..:____. . . . 1 <br /> - ii -e_ -..... ,...ce el-5 - <br /> Owner [ 7 Authorized Agent <br /> I certify that the above informationii is accurate to the best of my knowledge.I AM THE[ 1 or 1 Author <br /> NAME(please print):�/�L-it A Co,/1 -t-)-7 by Telephone# 5 o 3/d/ 0-Z 3 30 <br /> Email Address: 13 a-11 k;-1-z(ft h 0 r/'n;.; I • C o;'1 <br /> Applicant's Signature: 2%Cvri4_ Cs ,3�------- <br /> Applicant's Mailing Address: r 9—6 L . S0 c(,;ti /4('e_. City C -re 5 Zip: (/'7.3 11 6 <br /> FOR OFFICE USE ONLY <br /> PLANNING: <br /> Date: <br /> PUBLIC WORKS: Duke. <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) <br /> STATE CERTIFIED <br /> PLANS EXAMINER <br /> F:\FORMS\ADMIN\A-33D RES SITE PLAN.DOCX rev: 05/11, 9/12, 3/15, 3/18, 4/21 "' • <br /> i7 OIC 257 <br /> nr `� <br /> HEA CHRI NSON <br /> / -�� Z0� <br />