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• <br /> SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres <br /> - .. <br /> Pr) t <br /> . _ . . . . . t <br /> ex <br /> y <br /> 6 <br /> a <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE [ ] Owner or[ ] Authorized Agent <br /> NAME (please print): Telephone# <br /> Applicant's Signature: Date: <br /> Applicant's Mailing Address: City: Zip: <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) Date: <br />