Laserfiche WebLink
RECEIVED <br /> AUG 0 8 2024 <br /> a 4_2 Lana._ <br /> S ITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: / 7 J O I o L....-?v_3*-- ( L, 7p S,/ rtB..,—.. <br /> Townships Range.j . Section 9 Tax Lot 7"75 a Total Acres <br /> Subdivision f2',/ —09 !' 2 / J Block Lot <br /> ¢3-Drawn to Scale: j?_, e 5t r •Q Not Drawn to Scale -OR- " 1 square= feet <br /> Q - <br /> - - - . .,. ---- ----—------------ —j';) <br /> t..‘ .0 . <br /> . . . . '. . '0 1 kel $ tp---61 L.,e,...vt t-- <br /> . . . . . . . . ,.. 4 `a <br /> . •‘- •AV�f"1�C. �1`S \ .\O Q <br /> STATE CERTIFIED <br /> 0 - Mi illir <br /> Enxironmental Health Specialist <br /> i. <br /> r _ _ i EH-S-10117541 <br /> ^;. <br /> . . . . .4 . . <br /> ./ 1. <br /> ' 'i cV ity*A"---—N <br /> Matt W. Knudsen <br /> 4 / <br /> 6,7 <br /> i ,, . <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): �jJ�•.� t3 e`s o,--"--- Telephone# IV —873 ''77 7. <br /> Applicant's Signature: Date: JY-�°-2•`f <br /> Applicant's Mailing Address: r7 7t e..., ).e.. ----., ....."-i„j <br /> City:,C,`4-•c-/`+22\ Zip: 213(-I Applicant's email: k..--`- 0 t t-2---.c )k c 5 2721 0 ""u-(„fit. <br />