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12267777
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Last modified
7/18/2024 9:45:29 AM
Creation date
7/16/2024 4:51:07 PM
Metadata
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Template:
Permits
Permit Address
123 SORBIN AVE E
Permit City
Gates
Permit Number
555-20-009195-PRMT
Parcel Number
093E26CC01800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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I.2 SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT ff5) E c E u V E <br /> Site Address: 3 —CD 111 . ��� - FE o <br /> 1 2021 <br /> Township Range Section Tax Lot Total Acres MARI()� 7 <br /> Subdivision ' Block LotIJILDI(�GB e 1►VSpE� IT QN <br /> it <br /> •;. awn to Scale: _ /2 •❑ Not Drawn to Scale -OR- 1 square= feet I 5 <br /> — .-S. etlAelIMM/Cit, <br /> l x 25 Ci <br /> • <br /> - ..I,2..-v t`aut..s <br /> j <br /> oktg, ) r , z, <br /> 0' �" I uX1Sc <br /> ° - - . . .1) <br /> . . .. <br /> ti <br /> 0 .! (\' , Il — — <br /> fg- ` <br /> 24 <br /> ft.' - - - - . . R.)‘,1°) .,c\d .) - . . . . ' . . . . . . . . . . . <br /> 0 01 <br /> . / . . •,. . - . . • 0 <br /> -....c6 TATE CERTJFIED - <br /> \� `�1 Waste Water Specialist <br /> �,� EH-W10147892 - <br /> • <br /> • <br /> �� l �(p V— / ' 1 'Kimberlee A.Aldrich • - - <br /> \-_w4..,,,,,.....„....„,,, <br /> I certify that the above information/ is accurate to the best of my knowledge.I AM .i: Owner or[ I AuthorizeA/- <br /> NAME(please print): �/�,U CA-)( I C(7 N, Telephone# � `3 7,.5— <br /> `A Applicant's Signature: C � ,���L. _" ' f flp Dater- i ' <br /> Applicant's Mailing Address: ( 2'S (9 -.,sG 2.— Iti„�� _.,Liz. _ / <br /> City( /pia7 4&--- Zip: 97,381-I Applicant's email: <br /> S-31-1-2017 <br />
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