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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br />I9-qV21 sy <br />lRecalvED <br />MAR 2 5 2019 ��. <br />�UI4�IN�NN�P��TION <br />❑ Drawn to Scale: 1 square = 2� Feet Not Drawn to Scale: Total Acres 2, 3 K <br />I certify that the above information is accurate to the best of my knowledge. <br />I AM THE [)(] Owner or [ ] Authorized Agent <br />1 <br />NAME (please print): la-li G 1 ev c ko"'d Telephone # 503 S7�0 + / Ys -�r <br />Email Address: J C- T r I' Top 0 c o. -g <br />Applicant's Signature: <br />Applicant's Mailing Address: [sem OK -1 City: <br />6251 Frti.'7' l"�L tZe/ /U E <br />A -33D rev: 11/2017 <br />Date: 3-16- 2015. <br />Zip: 9-237 <br />. , Ir <br />r <br />s <br />. <br />A0T-H0P-l�Tl0PJ NoTlC E � . ._'•Ivor -. . . <br />THIS SITE PLAN WAS PREPARED BY ,� <br />THE APPLICANT AND.USED FOR . 1. . <br />REVIEW OF THE EXISTING SEPTIC <br />SYSTEM. ACCURACY OF THE SITE <br />PLAN CANNOT BE GUARANTEE D. . <br />12/ 2,�O H <br />-- — -- - --- ---- - - - -- - -- ---- - --- - - - . . . . . . . . . <br />3' <br />fie' <br />Septic Site Plan <br />. <br />r <br />555-19-002154-AUTH <br />CLEVELAND,JOHN PAUL =' <br />C <br />6251 FRUITLAND RD NE, SALEM <br />N <br />072W21 DD01505; 2.21 acres <br />Id <br />. <br />. Q <br />- - — — - - —... <br />• .mr <br />•—....j,.�.rs�n .....P..w.Win..q,.r-.,ave..,pa......u.y......w.+.P..r...,urr••.a..ti..•a.........�-we.�,•mrr.r.vr,con.... .Y....= ......m....•... ,.�xu....w..w........ , <br />I certify that the above information is accurate to the best of my knowledge. <br />I AM THE [)(] Owner or [ ] Authorized Agent <br />1 <br />NAME (please print): la-li G 1 ev c ko"'d Telephone # 503 S7�0 + / Ys -�r <br />Email Address: J C- T r I' Top 0 c o. -g <br />Applicant's Signature: <br />Applicant's Mailing Address: [sem OK -1 City: <br />6251 Frti.'7' l"�L tZe/ /U E <br />A -33D rev: 11/2017 <br />Date: 3-16- 2015. <br />Zip: 9-237 <br />. , Ir <br />