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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> AI Drawn to Scale: 1 square= 10 Feet Not Drawn to Scale: Total Acres q. 25 <br /> • . . . . . . . . /05' 300\ ..,'4, • <br /> �.ralnrti I If.., �vri� �b <br /> i 94/ice . . . <br /> si o•o • <br /> • tivc <br /> i r Ex 1 -, �f.�l . . . .. 1 <br /> s , " . (._9‘`.r!.,j..• ',1I..•_,__ Id►J <br /> .%) <br /> �---�weI( /Doi... . . . ... . ......... . . . . . . .. . ... <br /> 5' �, y <br /> ____i...•.. •.... •.... ..".' N.H._.' <br /> 1':•u'''4q\o I <br /> ,` <br /> --3 ii[ . . . . . \r,,A;\\jz(sz . . , . . . ,. .i. . . . . . . <br /> n,-4/ C6':it9 .L,l'LR_. ... . . . . . . . . . <br /> U l I1 Easenln+- °.S"ol 1,6 2Z.. %fl <br /> " . . . . . bu.,54.-. ,: 47;t.,& led (-5.6 . . . . . . . . . . . . . . <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [X] Owner [ ]Authorized Agent <br />\\ Name(please print): OS1c& K. C eLe 1� My telephone number is:gio0.510 2" 5(0 2-2..Applicant Signature: �� ` Date: 2 - <br /> Applicant's Mailing dress:$gI 5 W. Slur Tan kc . SE City: PrUalS6 V t ( 1JL Zip:cl 1 3 a5 <br /> FOR OFFICE USE ONLY /�, r <br /> PLANNING: Date: 2 -I - �5G Z (1 I E <br /> PUBLIC WORKS: pC5,._ INED <br />,, <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: JUL 1.9 L.L <br /> A-33D Rev.05/2011,09/2012,2/4/2020 MIARION COUNTY <br /> BUILDING INSPECTION <br /> Page 4 of 5 <br />