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' SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> 0 Drawn to Scale:1 square= , f'- Feet Not Drawn to Scale:Total Ades r I LE,,,, 1-..:: <br /> i : ....j : : .vatr,414c. • In a.. . . . . . . . . . . . , <br /> 1 7"";rt° . i 1 16.. . . ' ..4;.1 . . .5 ii • 1 . • ' • Q Q/l/g4CY <br /> . , zlii 4 , , • • • • ' 1L2 t 4 T,,0 /1%"'Ckz <br /> 06- <br /> } L'ilf� <br /> I j f AIZ <br /> . . 2.7 ')t it . . . I • a <br /> I • . r , sue ! <br /> . . . . . At /44VE6 FOR CODE <br /> :1 ( .LI t CE.- 20 0 <br /> • 1,37AI '', • Ls.R. . "k\l' ' ' - 0-empt•if-Omss- <br /> :1/4,..FA.I5r.-/41.7 k9A.614 4SPECIALAIOODE <br /> . . . , . A . $v rr E c r-g T <br /> I certify that the above inforivation is accurate to the best of my knowledge.I AIVITHE_Owner or[ j Authorized Agent <br /> NAME- pleascpr C& 4&51 roe.; f e..; .Tel e# IS( 5 N N 34 4 Lr <br /> 41 <br /> Applicant's Signature: r ill, :f „_ Date; �Z L 2.! <br /> AppIic ant''s Mailing Address; t O ' : I Cityi` [�1 fag II �;. <br /> FOR OFFICE USE ONLY STATE CERTIFIED <br /> PLANNING: Dates LANS EXAMINER <br /> PUBLIC WORKS: �, �h OIC 257 <br /> BUILDING INSPECT/CM (Aeaeptable for Planning requirements only) Date; i ,, _ <br /> ..E'ER e-er" NSON <br />