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1cj‘- LD \-lam - <br /> • " rSIT E PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT n �g r -p 1 C\III t <br /> 0 <br /> Site Address: 114 J S Gut,oi!7r cr ci i 1 ,,i, , ' IeJ tl I �1 <br /> TownshipRange Section Tax Lot To \III R 07 2019 <br /> 0 <br /> 1 I t <br /> Subdivision Block of ;V,'-a'si0i COUNTY <br /> ❑ Drawn to Scale: •❑ Not Drawn to Scale -OR- 1 square= /Q feet iiUILDING INSPECTION <br /> A <br /> 41w . <br /> s.-7 <br /> J <br /> r <br /> • <br /> Q - <br /> • 5' vJ d <br /> ,: . <br /> • cts <br /> -S -.0Cb <br /> yriT t. . <br /> • 'el <br /> l''�oC). I <br /> I nd mss. <br /> . �. , . .� a . Z . . . . . . . . . . . . . . . . <br /> mss. . . N.:. , <br /> _— T toreperi-y 11lei fi . . . (cj1 . . /. <br /> I certify that the above information is accurate to the best of my knowledge.I AM nu,[ ] Owner or[ Authorized Agent <br /> ��AI - � Telephone# 5-O ?-51 r9 ZoS <br /> NAME(please print): � `� a <br /> Applicant's Signature: Date: 31/1/17 . <br /> Applicant's Mailing Address: 1/1 4 1 1 v i "7 ' "` <br /> City: (, V'4 v a`rZips 1-7032.---03 l Applicant's email: We) -4744 /42 ay?Ci <br /> S-31-1-2017 <br />