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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> r> <br /> , 0 Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres . 4, <br /> y ® s <br /> . . . . . . . . . . . . . . ___.-:- . . . . . <br /> N —' t ri I <br /> Jam. �`!- <br /> Vo �"'� O !��'.' � .��'�, � (n ••�,; • �,%-ms`s <br />'.' - 1: i .. . ' . <br /> 5. <br /> :.r=''/�r . . . . . . _ . . . / . <br /> vi <br /> kg <br /> . . p1064 . . I t <br /> a el-6 <br /> �� Vi --.- fis‘ <br /> OS ON <br /> .J • . _..,--........„[./..._ -, ... ci 4 <br /> . .T .PA.V .6'':,. . Pi. "4";1: I . . . . . . . . . "'";-''''''''''''''-'''''''''''.- A <br /> .--- . ......... , (17:e0-3‘84...tix) ./ . . . . . . ' • '/ • 06 \ . ' • I.4 ' • . <br /> ''k • <br /> >" ,../ <br /> ), • • x(04 . <br /> <. . isl--7---"77 . . . . . . : . .. `: ,,- .----.,--='-'-'. <br /> __ <br /> . . . �. .a6zii <br /> • <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE VC]Owner [ ]Authorized Agent <br /> Name(please print): Trc-t/4 &T 1'-I i(-5'DdL3 My telephone number is: 5.03•-es"7E3 "z3v5 <br /> P5-c3 3�f1 $7 ? 7 <br /> Applicant Signature: _.-4.r --- Date: 37-- "- 1`._ <br /> Applicant's Mailing Address: Z.2. -3 0 '3 ,..5c)r-Le...,,, F. City: Aca,e� t Zip: ?7C v a <br /> FOR OFFICE USE ONLY <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 />