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12022492
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Last modified
1/29/2024 11:19:26 AM
Creation date
1/25/2024 3:22:41 PM
Metadata
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Template:
Permits
Permit Address
3090 JEFFERSON SCIO DR SE
Permit City
Jefferson
Permit Number
555-22-000881-PRMT
Parcel Number
103W13 00500
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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I <br /> Septic Site Plan <br /> 555-22-000881-PRMT IDENTIAL DEVELOPMENT �1 <br /> • Site Address: WELLS.LARRY WAYNE&WELLS.KAREN L + S ' '"^ V t, �0 V) �. 9 1 "�c'a-T 211 <br /> Township 3090 JEFFERSON SCIO DR SE,JEFFERSON Total Acres EX- .Extk n% <br /> Subdivision 103W13 00500; 133.88 acres Block Lot 9 Y- ras.5 <br /> O Drawn to Scale: 'Not Drawn to Scale -OR- 1 square= feet 116-- 2•r`4 blik)4in9 <br /> '1-- - - - .• D ECEN 7 <br /> T, f . 5r- ¶ c t: - <br /> t . .r 1 -- po«.. . . . <br /> ARID OUNTY <br /> `� . �—r . . ` . . B ILDING I PECTION <br /> �, 'ASS +t, f0. \ <br /> iriiVtj ' ti 1 r 4.. 1 rgh ''\9 t.1 . ('' <br /> • vast44n.1.). . . . . - .. ' -;••- •s...‘w . . C . •VarM . . . • <br /> . - - rC Zt-c�n 4�, <br /> %t�r�ss �; • .�',i�ld <br /> r. <br /> y <br /> a- <br /> . . gr >. <br /> • <br /> • <br /> • <br /> VNI El } ................. . . \ . <br /> . . . . . . �. . . <br /> O 'o' - ,`rt'l vt_( lr.,, �T U-- <br /> `D y t fJ�t�� ,,,• t <br /> • <br /> J _1 , <br /> W 5(71,jfank dry;�n S1�• y• . facrv. 9 ray zl <br /> S'fo'h;if e. bv,tl�f/�9 .... <br /> MM �.. <br /> 0 x7ttttn� Lam. <br /> �a}.• kit ,t•.7- <br /> `io 1:''t`i 4•ha'Q•refk; t <br /> 11 g4 <br /> . ); t -�v a _1 a <br /> - t II�`►►'' <br /> t <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE OtOwner or[ J Authorized Agent. <br /> 4„ <br /> O <br /> T NAME(please print): P"��k N W �-L 5 Telephone# C`.3-' '() 23 2.0 <br /> Applicant's Signature: �31`�•�- �--� - �%� .� Date:�r.(�7C, Z� �2 U?t <br /> cv r c �p <br /> Applicant's Mailing Address: 3�t�i _S2�` 56'a\ sC O `c, S {` <br /> City: L. 7.t It S OYx Zip: c1:1-)CJ 2.- Applicant's email: lI.)Z..`t SiYl 011il 10 0 C-�R 'A l.C C l\` <br /> / <br /> S-31-1-2017 <br />
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