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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT -1:5 ILE rt," E [IVE .."';'' <br /> Site Address: D 8'lG 5' l 1.1or-14 To//z— g D , f L <br /> L i b r'1 S 0 JZ 9735 Total Acres 0.7; J U L 30 2021 <br /> TAXLO <br /> jik Drawn to Scale: •❑ Not Drawn to Scale -OR- l square= /C feet MARION COUNTY <br /> BUR DING INSPFCT►ON <br /> Septic Site Plan <br /> 555-21-007754-PRMT-01 <br /> ELLIS,KAREN S <br /> • `--- ---r--_ 28681 NORTH FORKRD SE, LYONS <br /> . 093E18BA01200; 0.72 acres <br /> w`./ <br /> . . -' . � -�- I. C f'-L.�4 fi/t 4. s . . . . . . . . <br /> 1 ;LA of' cj < <br /> • • . . . . . . / 6; IS0 1:13 (------------------------ <br /> "Are r <br /> 2 <br /> / R 1 <br /> . . . EXPI R:ED <br /> / (7,- , <br /> - / i --- , - - - <br /> • <br /> / 1 <br /> 1 <br /> 4 ED r tom_ <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE I I Owner or 01 Authorized Agent. <br /> NAME(please print): re t•/- / ilt L( i---r i Telephone# ,�D.3 •''`73 R -aG957 <br /> Applicant's Signature: `�.Q�.c.y /(0 t, Date: 7-,77—s4 j <br /> Applicant's Mailing Address: /S S 3 We_4_e GV G Pi <br /> City:,S 12.t,{f77f) Zip: 9 7 3q /� <br /> Applicant's email: C ./ 2, L64.. 1 fp-/!m . (ic <br /> S-31-6-2020 I G:\Forms\Septic\FORMSIS-3Ia SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />