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12267022
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12267022
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Last modified
7/18/2024 8:46:18 AM
Creation date
7/16/2024 11:50:58 AM
Metadata
Fields
Template:
Permits
Permit Address
18508 MT ANGEL SCOTTS MILLS RD NE
Permit City
Scotts mills
Permit Number
555-23-004352-PRMT-01
Parcel Number
061E16D 00700
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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IIj) ' \9 U v I. II , <br /> Septic Site Plan <br /> SITE PLAN FOR PROPOSED RESIDENTIALi <br /> /� ��� LJt "� N �� 666-23-004352 AUTH <br /> Si �Adax, 5 /A+ <br /> PALLAS,DENNIS W&PALLAS,CHERYL L <br /> Tom' nl on!141Age Section Tax Lot 1 18508 MT ANGEL SCOTf S MILLS RD NE.SCO1TS MILLS <br /> 'SliDt21V151d1Y Block 061E16D 00700;4.96 acres <br /> 0 Drawn to Scale: .Q Not Drawn to Scale -OR- . l sq <br /> uared= <br /> S�i t' S Ai. e`�f..^ , ,",( P.' . E,.--�..f <br /> - . . . . . . . . . . . _ t Mai"{-k4e for Sg4.1 . <br /> c c e'm�S - - rA Gas G Of Pea.. ►/, -- <br /> Tom. ' <br /> r F { <br /> '' 7, ,, ,, : ` 1 <br /> i� tl . Iiii <br /> 9Lo g . . _ <br /> rs <br /> . . . _ . - - . . . t / <br /> . S . <br /> . . . . . . . . . • . . . a .._. <br /> c. 1 ---.. -<1 <br /> . .g.. <br /> T :1% 1 •. . .t )L,N.,.,------ --------'''',, <br /> • -t s (nviropment; Health5pacialist. - <br /> 1p , . i , EH-S,--io22757s5. ` <br /> - e'' 2- !ty I <br /> . . . 6 <br /> . f .I ��L Man 3a�1lcF <br /> . .. . . . _...1 . <br /> r <br /> APPNOVED FOR SEPTIC . . . . . <br /> • INSTALLATION.C iVL'�" � V <br /> �.-� NIt itheresponbilit e)fhe ,� �s <br /> a- ,iic nt•to Coordinate these <br /> fX\ { • . <br /> requirements with aI' others. - - • ,- ;..� �; <br /> \J <br /> • . . . . . . . . , - . PIS . . . . . _ <br /> . <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ ]Owner or 64euthorized Agent <br /> . NAME(please print): /(r li. (,J(/,' (1 Telephone# _S —I'7. • 7'5) <br /> Applicant's Signature: oteutp.O. c L J awl) <br /> � gift Date: 1: - 1'� <br /> Applicant's Mailing Address: p f 2 ( 5c.r.4- Way ". <br /> City:,C./d-L/•t,.--•-• zip: 9 t Applicant's s email: t.t-,C.r- 9e.fa �tis �7it`�w�•`�Chu <br /> S 31-1:2017 <br />
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