Laserfiche WebLink
• <br /> Ps W Pj <br /> SI AN FOR PROPOSED RESID NTIAL DEVELOPMENT Q ' I- ' TIT <br /> • <br /> Site Address: '9r /i� �� CT 2 7 ���Q `� <br /> Township Range Section Tax Total Acres <br /> MARION COUNTY <br /> Subdivision B ` Lot DUILDII�IO INSPECTION <br /> ❑ Drawn to Scale: •❑ Not Drawn to Scale -OR- 1 square= ---lset,� <br /> ! 'l <br /> . . . . . . . ---r7---.7...........................„...........„:„, . .. . . e4/„.. e . <br /> � .5 • <br /> . . . . . . \ <br /> ,/I j 1 <br /> . . . . I\ 1\ <br /> ,,� . /: itt 1 <br /> \\*. i 1 .. i. " \ • • . in. ./-, i -J <br /> . ... . . -----1. ,, .3.-c.._ - . ,i. . - 1 - <br /> ,,„,,,,:„. 5 ' <br /> cn <br /> . ... . . . . . . . . . . . . 2 <br /> / I • <br /> C J W O <br /> FA <br /> is- <br /> = J O <br /> • 47 O <br /> O U J <br /> l . J p <br /> (A m rn o <br /> • ' ';STATE CERTIFIED ' <br /> 1 Waste Water Specialist <br /> J -, Eli•W10147892 <br /> . / � . . . . . . . . <br /> C( I /I. 4 c . <br /> Kimberlee A Aldrich <br /> I certify that the above information is accurate to the best of my knowl ge.I AM T [ ] Owner or[ ]Author!ed Agent. <br /> • <br /> ) t�1 r 44`. <br /> NAME(please print): 1'�'i; 1 F ki- •c v(f) t,.. 0 N Telephon {I '''' I hri/57 <br /> Applicant's Signature: _ l a�0}�,"� <br /> Applicantis Mailing Address: L? 1 ' U'C.1k>~ kAr\ PS \ 1 <br /> i Cj 1n/ 1.3 J 1�, ` <br /> City:_ ,fl ?Ai:MN Zip: # t �g 1 Applicant's email:VLI f 1.. . 1,� r•-�•.. 1)�� Alkr� 0 <br /> S-31-1-2017 ("OMIT <br />