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SITE PLAN FOR PROPOSED RESIDENTT,Site Address: .7 m5 ..- .,,e.) l Y. >i Townslu Ran e ' FOwiecuvl
<br /> USE ONLY
<br /> p g Section Tax Lot _ 0-6 `WA011
<br /> Subdivision .\€.� tP,�I , a -- Front: (� Rear: oyli
<br /> F' c�; Block
<br /> ❑ Drawn to Scale: Not Drawn Left: m ION
<br /> to Scale -OR- 1 squartU} IN
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<br /> ,4,Nil.s-!„.,„-__.._ _,�#„�:.,."—..w, �. _ Property is located in flood lain: ❑Yes No
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<br /> Zoning by: .. , ['Received by
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<br /> I certify that the above ijnformation is accurate to the best of my knowledge.I AM THEI
<br /> ]Oi or[ Author:-
<br /> zed A ea#14-1Y—Telfilio—;ne , p _NAME(please print): / 1,.y409;546.41415-(''JA-
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<br /> Applicant's
<br /> Signature: -•l"` f- .,a,,,,, 11.'4", G/
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<br /> Applicant's MailingAddiess•: I ,ate :d16`1':1,4,-°t- irij
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<br /> City.-=-',* C� k'' , rift
<br /> v Zip: :97S 4,4 Applicant's email: t M . 0R' A •�,�` r J , • t'
<br /> ASPIf l: Oregon law requires you to follow rules adopted
<br /> by the Oregon Utility Notification Center.Those rules are set forth
<br /> in OAR 952-001-0010 through 952-001-0090. You may obtainCONDITIONS
<br /> copies of the rules by calling this center.(Note:the telephone num
<br /> 0-F-APPR OVAL
<br /> b,rfor the O,ugon Utili • ' - .. Q
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