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Septic Site Plan IDENTIAL DEVELOPMENT��� c ct t� <br /> Site Address: WELLS LARRY WA NE 8.WFI I S.KAREN L S�' 'c-t f��c sc t� U t t c�- \ l 2 <br /> Township 3090 JEFFERSON SCIO DR SE,JEFFERSON Total Acres E x_ .eXtk <br /> Subdivision 103W13 00500; 133.88 acres Block Lot r r- cAra.5.5 <br /> O Drawn to Scale: • Not Drawn to Scale -OR- I square= feet S-to i-zs Y btu`)g'^9. . . . <br /> • <br /> . . . . . . Tir•Y ckx•:- tl jGl o t.Y�r L t- l� B <br /> 4 -- re, `E... .JAN 2022 <br /> . . .� HIIC)N OUNTY <br /> �. �._— . ' .: ; . 'D ILDING I PECTION <br /> • v . . . . . • <br /> . vIs21 n . . . 1Si 4�,d c3�''� <br /> a <br /> • • <br /> • • • , , . . . . C-1@O55 •• • % - - rd . . . . <br /> II <br /> •YA•R► <br /> Please draw in } . �xi {l"� . c - iat wrVVII*r 1Z . <br /> eiing <br /> approximate .I G • ` 1`o' s.. . <br /> �` . WEl . �'`�' <br /> drainfield in r _ `.,—. . • . ''• Vtg-1--. . . . . . . <br /> approved area on \ • Irr'1.( `r v1 1 <br /> this plan i,�' 1 EAi.)1�►)9 F . . . . <br /> F3rm•b.t.�. mGbttt-_ <br /> . =. . Efis4it'n' - EXiS�,��g `J . Of . <br /> b cts„)��"� :5 kic <br /> • 1 <br /> Wf Se „Ai ����V�\ Clrzim��l� . . + . <br /> p �l, <br /> If tAc ei• ' . . - . .birtiildir�9 <br /> a ��Aa er T 1 <br /> c, ' �. <br /> o.10,614 `1%,:-.11 -,;:c.A4***—'y• ' ' f • • • • . . . . . <br /> P 1 • ti av _1 T. iv t <br /> . h..s_. . Pk <br /> . . . • . . . . . . . . . <br /> i <br /> Z <br /> I certify that the above information is accurate to the best of my knowledge.I AM rJJJ Owner or 1 1 Authorized Agent. <br /> C> <br /> Y NAME(please print): 4K P � ,k N W L S Telephone# 5 C 1' \C) 2 3�� <br /> Applicant's Signature: 1`�� _ V� `�� Date: r� . 2 7 y_Ui 1 <br /> cv D <br /> Applicant's Mailing Address: 3(7 O -.I f i c s\ �C`O� c 5 }t r�f/, <br /> W <br /> City: k • SOY\ Zip: c.� �cam... Applicant's email: IA) l t 5 tin a't-�1.w Cy R`-61 i;!\:C C\\l <br /> S-31-1-2017 <br />