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, ,(94-a)LOCC tIS <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT RECEIVED <br /> Site Address: t 1 l' G ETC' , 'c-11 (S Rc-A • O 4 6 R. •7,5 <br /> ' <br /> Township 6 RangesE Section '2.� Tax Lot��55��"`otalAcres '�� SEP 04 2024 <br /> Subdivision Block Lot <br /> Septic Site Plan ;'•awn to Scale -OR- 1 square= �j feet <br /> 555-24-006988-AUTH � t � <br /> GABOURY, PHILIPPE&JUDITH Y�Crf'k• • • Un L,5 • q-fp��"- " x • <br /> 118 GATES HILL RD, GATES7:._67/ t�0 Y a • - <br /> 093E26CB01500; 0.23 acres . - • I <br /> SITE PLAN APPROVED FOR • <br /> SEPTIC SYSTEM LOCATION <br /> _ ONLY.IT IS THE RESPONSIBILITY <br /> . . ,F _� ,1 -S Li_ i�_C .. T TO.COORDD IATB <br /> • i, <br /> j QUIRIJME S WITH ALL°MFRS, <br /> •�,e Ul'O-IA 6 I�3•IS-NOTA ERMIT: - • <br /> . . . . . . . . . . . . . . . . . . . • 9/l A,4 • <br /> . 1▪ F1 . — <br /> ,A <br /> /7"--- <br /> 1 Vi12) 0 0 ii t A.46.t L.1... . L <br /> N ------— - /•.' rz-- i-c, - - • • ( ItyrY)6. . f • • , <br /> .tz . ( ..__0 c:). . , (i tr..4 .(;1110. 1 1.1 . . . . . . . . . . <br /> • • • • • • • 1 • • •S 'yt • • PiTo • i - .. - e <br /> . , H. . Pi 'elin <br /> . ., . c . �• - . i . . . . . • ek <br /> ' ' . t .• . tO-Ne-,w . . , . . . . . .r . . .ti- <br /> 1 <br /> . . . .j . . . . .. <br /> 77: iLi .• t. <br /> • <br /> I certify that the above information is accurate to the best of my knowledge.I AM f1ir,[ ].Owner or[ ]Authorized Agent. <br /> NAME(please print): r h ti $ S Lit.A ti C&bo t1 ir1 Telephone# 3D 3 -9 ( - i 3 47 <br /> Applicant's Signature: Date: <br /> Applicant's Mailing Address: .5 9. Lo d L a U(r DR iq t cA- 143 <br /> City: �rl Zip: ©R Applicant's email: ! t rJn(�V" �j f1rlc(+` , rn <br /> S-31-1-2017 _ " `� <br />