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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS ' • <br /> -•. alc l cnuare= Feet Not Drawn to Scale:Total Acres 6 <br /> r_----- <br /> 1 <br /> 5o • <br /> • 6 C~ -i !VOfrh <br /> ' • <br /> i <br /> . . . . <br /> -,---/ ' ' ' / ' " .', ' ' /* • Q . . <br /> . . . . . . .'4'. I\q) .,/cit <br /> . . . . ., t . . . . . . ., <br />, . . . . . / . . ./.. /90-. . . .tW. 1. . I. .\ <br /> • 1-4—so'ri r�,�" I •' ,g' a� ! C•c..l . . <br /> Se P}rte ' <br /> ice` E. 1• , • •1 ' 1/' /' <br /> • t L !! <br /> � <br /> . . . . . . . . I. / <br /> • \ . . ,litgft?.: ; ' . . . . . . . • <br /> • VP • / 'Ty '`v . bfl i <br /> I <br /> lbs; �` /'�, . . . . . _ 1 _ 1 471 <br /> �tJ 15V4-° , <br /> MT- <br /> 4n — Ct.� ,.. s e.4 . <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [p4 Owner [ <br /> Authorized Agent <br /> C.0..?,Name(please print): IR, i 1 .\ My telephone number is: 503—tel 8 9 — y 7 3 7 <br /> Date: Lf_ a — f <br /> Applicant Signature: A/AOPP, --- <br /> Applicant's Mailing dress: /QC)9 3 Mr ,{r j 1 <br /> �—t'er `S {r11 City: C=1-piV ati C Zip: q 7 O 2.1,z, <br /> FOR OFFICE USE ONLY <br /> • <br /> PLANNING: Date:. <br /> PUBLIC WORKS: . <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> Page 4 of 5 <br /> A-33D . <br /> Rev.05/2011,09/2012 <br />