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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> . ' 0 Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres 79,6 3 <br /> _.........„/"-- <br /> . . . . . . St.,1vNyvt:.,,,,,'RI; . . . z i . i . <br /> • <br /> 7.-.%>%%•NNN <br /> 1 <br /> 112feeI <br /> b& p #.cA(ce?!lc 5. <br /> :18 <br /> gavYE (..' ar 1tjyrnys 5..pTiC-+1,01110144:6 <br /> I , pe,N.Yr - Lai 641 <br /> i X .1l <br /> /V 2.7 <br /> ?Q r .- 1 .I .5 ^. <br /> re- <br /> 11:r: <br /> rnc- wr Mil l Pal <br /> �tI <br /> eJ • <br /> . . <br /> fsvos <br /> d7s'.x Bio <br /> Copeo (eApi ro <br /> U) . I rte, +�,r gny / <br /> .9 1' wet( <br /> ..1 <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [ ] Owner NT Authorized Agent <br /> Name(please print):"-RjI LE/A/ My telephone number is: 36o-zOL— O C6 sr- <br /> Applicant Signature: rDate: 1 <br /> Applicant's Mailing Address: ZIP Ii-- to 3 4ye' /'/Gr Ci <br /> ria <br /> I R s <br /> ty: 5 e.r. Zip: 7 30' <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 />