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SITE PLAN MUST SHOWALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square= 5 - al Feet Not Drawn to Scale:Total Acres <br /> 4 P - i30 f 1e(I ct�-�vr�s . . . . . . <br /> 6t0 ( ' . . . . . . . . . . . S �� ��I 6" . . <br /> 0 -fd s. =.n.' . . . . . . . . . . . 1 ktit. boil; , loor '- - - - - - <br /> A 49 1= .6q' . . . . . . . . . . . (kit. rPd . .. . Igo, s . . . . <br /> s - .!7' . . . - . . . . . . \,tie tt(v�, . 1Poi 3 . . - . - - <br /> f0 ` 337 . . . . . . - - - - . 11\1 e &peek, ?q►g <br /> s iv. R jd' <br /> s+0 P. .s_ . 2 S <br /> Y 7 . x 6. . I . . . . - - <br /> • <br /> . . . . . . . . 12 7" eke <br /> .51 <br /> . . . . . . . . . . . . .11 - - - - . - tg • - . . . . . <br /> . . . . . . . . <___�. . . o _ - - - - 7 - . . . . . . <br /> ) 9 . - • • <br /> do i1 SIDe do Prop€'cea <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE 3-0 <br /> [^ ]Owner or[ ]Authorized Agent <br /> NAME(please print): /r y 4 l,,�C�ii 7 Telephone# Q?- 4 P-70 CI 7-- <br /> Applicant's Signature: t l ���6Z'j/ee�t/ Date: 9-4"Za 3 <br /> Applicant's Mailing ess: `1 0 3 h Y ,��^^ i City:frkd�a Zip: 97o7 <br /> g � .� � l G^� ���� / <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) Date: <br /> A-33D <br /> rev: 05/2011, 9/2012 <br />