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alk tzta.51 <br /> RECEIVED <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT JUL 09 2024 <br /> Site Address: 688 DanItf soh Ln 5+49taYl <br /> 011 W 15 BB00600 Total Acres I.12 <br /> TAXLOT �/ <br /> 0 Drawn to Scale: •® Not Drawn to Scale -OR- I square= feet <br /> • <br /> • <br /> t. <br /> • .lam 7(ic�. ilkusftfLO... . 1 1. . ` . • g <br /> r. <br /> . RLPlate EXis1.1k1 1( • • r • • �' . <br /> • • \ ki'i1 Lie.;1�ra-hw 11'1�1O 6 . . lo" . . . . . . . ti. . . . . . . <br /> pi, <br /> • <br /> • <br /> • <br /> UNEECERTIFIED <br /> E@yypgmpialHdalth stiecialiit <br /> Qi;S-10117541 <br /> rrl. lt <br /> k``s="� i. . . . . . . . . . <br /> IA1,Knudsen . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> I certify that the above information is accurateto the best of my knowledge.I AM THE I ]Owner or thorized Agent <br /> NAME(please print): St. 1 L 1G Met (TidYJ U(r q Telephone# 0 �� J a/ <br /> Applicant's Sign Date.: <br /> Applicant' t• g Address: 3690 �f !r Q t !1 <br /> City: 6pif ein- Zip: /7� Applicant's email: 3 r•q c it/06 /4 1 9'ppd.rom <br /> S-31-6-2020 G:Totms\Septic\FORMSIS-3Ia SepticSystemSitePtanRequircments for SITE EVAIS 2c02J0-07-20.doc <br />