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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: 1 01 OZ.— 3pf at ,cp1145 <br /> S ad_ A)E <br /> Township Range Section Tax Lot Total Acres /2_ <br /> SubdivisionBlock Lot <br /> ❑ Drawn to Scale: q Not Drawn to Scale -OR- 1 square= feet <br /> 1 1.r . ,1 <br /> � - • [11) <br /> . . . . . . . . . . • ,6...„ • • • <br /> lg . . N., , , . <br /> __. ..,...s., . <br /> • . • —§. --- • • <br /> . 1 $0 Cik t . <br /> � <br /> V) <br /> No rp,' `'' .t lls�c <br /> 4- <br /> 4 <br /> vR -�o1dt. I'Z•ed Lew <br /> c) ;>>.� SITE PLAN WAS PREPARE.P <br /> 36 . Y•THE APPLICANT AND USES FOR <br /> 0 I:VIEW OF THE EXISTING SEPTIC <br /> c-NIeJ r' ' ..V'TEM.. CCURACY OF THE SITE <br /> • , `1 .3v Foil. •�,�, •i. `., \NNOTHF.GU'r'..RANTEFD. <br /> M • <br /> - 0 -` (7, IS• D• (� <br /> iiktot <br /> • . . . . . . . . \..-ro ,_l <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . <br /> Must be located outside of floodplain . . . . . . . . . . . . . . <br /> as shown on aerial photograph. <br /> ► BR 5/17/19 <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ I Owner or t4 Authorized Agent. <br /> NAME(please print): 5.3 ems, 5• (J_ I; Telephone# 503. 9f! 9 . q" ?O3 <br /> Applicant's Signature: 6..t S%C ,( Date: _6"_/b /7 <br /> Applicant's Mailing Address: /67 -'v.Z 5 e 4 L i017^f S gel ,l <br /> City: -/ltio-h" Zip: 9758/ Applicant's email: (5e/eel bra')/LS 0:;a yxico.(00-L. <br /> S-31-1-2017 <br />