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10512281
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10512281
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Last modified
6/25/2021 8:00:13 PM
Creation date
6/25/2021 11:25:35 AM
Metadata
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Template:
Permits
Permit Address
7786 DOVICH LN SE
Permit City
SALEM
Permit Number
555-20-009261-PRMT
Parcel Number
082W30DB00300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Site Plan <br /> 555-20-009261-PRMT <br /> ING, IAN M.AND CHRISTINA <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT 7766 DOVICH LN SE,SALEM <br /> 062W30DB00300;2.01 acres <br /> -7 <br /> Site Address: t 1 SLt 1� )t .J\On WA Si_ 5a "\ a. 91-'3 I <br /> 612 W 3 u—DO 0 3 00 Total Acres Q 1 C.A.c r-t-: <br /> TA..�wr <br /> (3�Drawn to Scale: 1 $S •❑ Not Drawn to Scale -OR- 1 square= feel1': <br /> 4b ht.. t brrip4:A't, ‘#.3."'"I Tn.'?erx.a (---- .CO+ . <br /> ham.t..` r <br /> °`^4 10001 tc.\tb+l C.o.,c44.41 <br /> LtICAAL. dun tr,, -i ,: <br /> I ao' 11704atic t� . <br /> 'A11uat43 Lin' is }�.nK t.. * <br /> LZ f t ow arti.IN 4'1041. k.kl, '� <br /> • . . . . . . . . . . . .125,+ ' • . . <br /> Tan <br /> 1' boxr .1611111111411.1Iil" X n <br /> 2... bo., : -2'q" tti <br /> * TvA2* 10-1)/ * . //4- <br /> .,,;.‘1.1 . . . . . . 3 <br /> • NH" lg'" al - " <br /> a_ ® ® . . . . . . . <br /> . . . •. ,,r. . <br /> LU Z d) <br /> . <br /> ' STATE CRT,IFIED . ` ., . <br /> ® -ps., St %� Waste Water Specialist • v' <br /> . .�. c 0 .5 *"-.+' EH-W10147892 <br /> o u) �' <br /> s <br /> Ili ...J m 0 C . �' /, . Vl fir) -,`U <br /> .> .®3 .(19 - .. Kimberlee A.Aldrich . <br /> • <br /> • • • It. .... -Ft e <br /> . . . so,. . . . <br /> • • . . . . . . , (N. . • <br /> . ....t 'VI> //,'^7N- . <br /> I certify that the above information is accurate to the best of my lmowledge.T AM THE I I Owner or I I Authorized Agent.n <br /> NAME(please print): IV I t. . U 41 a LLL Telephone Cil 1.2.1/ • 444r t/ . <br /> t. <br /> Applicant's Signature: bate: 12 •I I-. 2c2,o <br /> Applicant's Mailing Ad. ,. - ILI1'IQ ,5. 5 as ( r . Ore__ IN a , IL or)()Lir <br /> city; afix_±, . tip: 1-1()'1'5 Applicant's email: f b(Woott ex.talga()v1 L LL eamt:.t.CON'.1. <br /> S-31-6-2020 G:Womis\Septic\FORMSIS-3 hi ScpticSystemSitePlatiRcqutremcnts for SITE EVALS 2020-07 20.docc <br />
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