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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square= Feet Not Drawn to Scale: Total Acres <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [ ] Owner [ ]Authorized Agent <br /> Name(please print): Peter Rempp, Facilities Director My telephone number is:360.303.5362 <br /> Applicant Signature: Date: 05/10/2024 <br /> Applicant's Mailing Address:4164 Meridian St., Suite 400 City: Bellingham, WA Zip: 98226 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> A-33D Rev.05/2011,09/2012,2/4/2020 <br /> Page 4 of 5 <br />