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8631391
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Last modified
6/3/2019 11:41:20 AM
Creation date
5/23/2019 9:48:57 AM
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Template:
Permits
Permit Address
9624 ANKENY CREST LN S
Permit City
SALEM
Permit Number
555-07-01505
Parcel Number
093W04D 01700
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT TWO(2)COPIES REQUIRED <br /> Property Owner(s)Name: D AVe- •f' L-r"tt.dcf. A irn °L-n.d-i•n 5 eT Phone: 6-O3- 75/3 ---<-2. ,5—C, <br /> Site Address: 9.51 /'.. -m 8 /o f'• 1 -. S• City: ...54,--/e-9,-% Zip: q730 to <br /> Subdivision: Lot: Block: Manufactured Home Park:• Space: <br /> Assessor Map#(T-R-Sec-TL(s): DI.31,1 d 4 I) Total#Acres: <br /> • <br /> Zoning Designation: Planning Map <br /> SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> U Drawn to Scale:I square <br /> 0 Feet Not Drawn to Scale:Total Acres <br /> . d - O lsDS <br /> 5 <br /> • Kofi• • �` of . _--- - __ . ECLEUVED <br /> PF.:. �,RMIT STA • nMA - 2 2007 . <br /> REQUIRED <br /> /r ; .. N7ARtC1\I COU^JTY ' <br /> . ! ,••'• BUILDING If�SP1=CTiON <br /> 11 <br /> mob.: .j' , <br /> 7-bg fro " l <br /> • r ''', ,605 Well cd ,DI . <br /> . = ,00 i ,• „S`O <br /> • s `25' Wide Ac ess �� O Camelot iv__ . <br /> ari,d Utility Ease ent / Drive <br /> • Roadway Easement <br /> Lot 4 of Future <br /> Divided Property •. `� <br /> 1,51 Ac. "' <br /> s�.5 ` El 671.0' . <br /> '4 _,f_=4501`-- A °!/�� <br /> . ?..' r}! es to w contours) s .ib�5 <br /> —..415' , « <br /> • acement Drain?i w, '� w �' <br /> ._;;U1i1rL T.pj41.t9Q_ 7 }-. « <br /> 10'Min <br /> SITE P .SAN APPWektEi FuR • <br /> ' . SEPTIC SYSTEM LOCATION ONLY.• ' -. E <br /> /` s• • . IT IS THE RESPONSIBILITY OF THE <br /> - API�LI�ANTTO-COORDINATE '. • <br /> t�,/� "( T'.EQUIREMENTS WITH ALL OTHERS% ' .• •• <br /> . . IS I NOT i '...., iiieRMI•T.. . . <br /> 10. • • • • 3/ (4 0:1 ,.4 , ,groip- . • <br /> I certify that the above information is accurate to the best of my knowIedge, IAM THE [5.4Owner or (' ]Authorized Agent <br /> My telephone number is: D3 "7413`3 SC, NAME(please print): D Q•Ve, /kn.en d lily e.-0,- : <br /> Applicant's Signature: c3---.-�.. C.r _ / Date: 3-%2-01 <br /> Applicant's Mailing Address: !03 1 to •'V,6/C/4 i' s 4r • • City:. /<e;z e r . Zip: q 73,03 <br /> • <br /> • ' FOR OFFICE USE ONLY ' <br /> PLANNING: Date: <br /> PUBLIC WORKS: • Date: <br /> BUILDING INSPECTION:Acceptable for Planning requirements only Date: <br /> A-330 <br /> rev: 1Q/02; 4/03,11/03,01/04 <br />
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