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8618784
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8618784
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Last modified
5/13/2019 8:28:38 AM
Creation date
5/10/2019 11:53:14 AM
Metadata
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Template:
Permits
Permit Address
5649 RIVERDALE RD S
Permit City
SALEM
Permit Number
555-18-000429-PRMT
Parcel Number
084W13C 02400
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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•fv <br /> of CSM F • <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT li LI <br /> Site Address: S( LQ 12-1'd a Ar ctosAe_ Ld_ S sgle_.,-. DR- °ii302_ JAN 16 2018c; - <br /> Township°`,S Range Dt-{W Section 1S G Tax Lot iZH 00 Total Acres 2 -,-)O MARION COUNTY <br /> Subdivision C_ro:5c�, (L'�''e.-'cccAQ, I r s Block 1"S• Lot I0 BUILDING INSPECTION <br /> ❑ Drawn to Scale: 4 Not Drawn to Scale -OR- 1 square= feet <br /> 1 <br /> • . • • \ <br /> • • • N --= <br /> PED ('` 1u Liu 52�;00 / <br /> I <br /> 1251 3L1 i <br /> � ., . _ 2_3-7, . . . . . ; f <br /> H ,> 1 . ` Seo*a . . . . . . . . . . <br /> L.0 LU i gu 9 i C�i - <br /> 1I 51 <br /> . 1 . 1-tOk. 3 <br /> MINoRIRE.VAR-TANK RE . _ MEng- <br /> "APPROVED FOR SEPTIC • j <br /> s2ic..coo INSTALLATION ONLY <br /> . L '! � <br /> " . .L``. • • It the responsibility of the <br /> applicant to coordinate these <br /> requirements with-all others. <br /> . . . . . . . . . . . . . , /2. ,( ;e0 PSS• <br /> lit4444.4ti 1 Z0/0 . . . i <br /> I certify that the above information is accurate to the best of my knowledge.I AM TH H 'f.] Owner or[ 1 Authorized Agent. <br /> NAME(please print): Le;a, Ct .^kS Telephone# X1-11-2-1 8-S S S L <br /> Applicant's Signature: t f-,1__,,_ _ Date: 1 J( Z5/Z- i--) <br /> Applicant's Mailing Address: -L S Sat;' S (.....+• S . Sc..E+1 ("Q e1-Il-L <br /> City: c`/\)`A 0, Zip: Cr)Z rN,(` r Applicant's email: \ e o k_sl/,c e t_S i , ,,,,..--;0_, <br /> S-31-1-2017 <br /> f( <br />
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