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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br />Fp) E V <br />0 Drawn to Scale: 1 square Feet Not Drawn to Scale: Total Acres <br />,,n <br />yr <br />r� I� <br />t r.=-� pL LDING <br />q <br />� � ` 1a I � • i - Ste.- �'�� G Ir ��- 1 •1 � - <br />49 <br />C-0 ra <br />EFFLUENT PUI'� <br />,� r <br />1' 1r d : • ' J~.; <br />R.EOUIR F.P H <br />l <br />r <br />.�._.•. .. . fig. <br />n.kk <br />• I c! r •.r lei of �.:. . �- , , . r ` • P ..• • 4�i+- • �.�y�:. .S <br />Q <br />tl <br />4 <br />71•/6 • • • • • • ♦ • • • • • • • • • • • • • • • • • • • • • • <br />•l <br />j <br />` r [ 1 <br />F 1 <br />OLA �2 ` <br />• o • ���� <br />APPROVED = PTI <br />i'.�� �� -.. -�ao:��ds.. -; Q., �.r.s - �+�- � �-r, t . • . . responsibility <br />e_-ANSTALLATION N� <br />It l� the res onsibIIt0lth <br />casappj�t to coyrd.inate th <br />�4 <br />er8 <br />. W 4 -r -OCs quirpment-s ith• all. eta <br />S I <br />• <br />t(IT <br />U, <br />I certify that the above information is accurate to the best of my knowledge. I ANI THE [ ] Owner o � ] Authorized Agent <br />NAME (please print): - C;... Telephone #13 <br />Applicant's Signatur : Date: <br />2-`7-- <br />A licant's Mailin Address: �' City: �r: V,%Zip: � a-- <br />PP g <br />FOR OFFICE USE O NIL Y <br />PLANNING: <br />Date: <br />PUBLIC WORKS: <br />BUILDING INSPECTION (Acceptable for Planning requirements only) Date: <br />A -33D <br />rev: 05/2011, 9/2012 <br />