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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square= Feet Not Drawn to Scale: Total Acres <br /> AP ROVED BY, . <br /> . /A AM, <br /> /z.z-;oas( -SS5 <br /> . . . . . . . . ? p►')FOs4 . . . . . . . . . . . . . . . <br /> 366 yew l vr. . <br /> . �- . 4 od . . . . . . <br /> .' `.. .. E— Dra;hFi Ids <br /> a, c— 4 oi,s fx‘stip,-5) . . . . . . <br /> . !gut, �. . . . . . . <br /> 46 <br /> - • • • • • • • . . @ . i______i_t. . . .?„ey/P61,6. • • • • • • <br /> ("c- i p . I'''. 1-.6",.16ok. .. 'Or; ‘,/ . . <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [ ] Owner [ ] Authorized Agent <br /> Name(please print): a E5 H;),,,, My telephone number is: S 0 3 57 Z 2 3y 6 <br /> Applicant Signature: al-Las.Pli/ii.'� Date: <br /> 12 2 <br /> Applicant's Mailing Address:2-0 3 Er ,-(-.t..,I, Pro.;k iG , c City: CC Zip: - 17 (3 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> A-33D Rev.05/2011,09/2012,2/4/2020 <br /> Page 4 of 5 <br />