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5Dtc'1, <br /> .-VV <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT 'IP ECE V E�}Site Address: 15'70 Cordon 'd 5 E 41(,w1 AL a 0 2024 <br /> /6 0 D Total Acres 1. 32, <br /> TAXLOT <br /> ❑ Drawn to Scale: Not Drawn to Scale -OR- 1 square= feet <br /> ShaP <br /> • <br /> Houcr• . Irk <br /> • (• . . . . , . ; ., ; . . too/ . . . . . . . isr -boy <br /> -- o car 1146fichel o <br /> IV- <br /> .Q . . . .REQtAte X15. fkN1Z >11 Yl4 . . . • • ' • exist imoriEtn • <br /> 1HF1L1RA'f <br /> 1Cko o <br /> Aln'h boV•r �Cr I/ic, VV �y <br /> sipeeb5. <br /> ��f v fr . . . ; STATE CERTJFIED <br /> APPROVED F R SEPTIC weetttrt1 it'Healthspedalist <br /> . . • INSTALLATION ONLY" • .ikt.7:;)/ <br /> i ,. $, 6r 71"175 ci . . . . . . . <br /> .It is the responsibility of•the ,' `' <br /> applicant to coordink these . �� <br /> ate <br /> requirements with all others. I, 4ftitttu.laraittern 1 <br /> R100 . . <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ l Owner or[ I Authorized Agent <br /> NAME(please print): Jess R' enmay (Action Drain) Telephone#503-932-2401 <br /> Applicant's Signature: Date:07/jd/Z L <br /> Applicant's .36 �Ka mi SE <br /> city,Salem zp: 97317 Applicant's email:jr.actiondrain@gmail.com <br /> S-31-6-2020 O:\Foims\Septic\FORMSIS-3la SepticSystemSitePlanRequi emedts for SITE EVALS 2020-07-20.doc <br />