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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT ,(V\-- <br /> 1 <br /> Site Address: <br /> Township Range Section Tax Lot Total Acres ,— • <br /> Subdivision Block Lot D 11 C I V -D <br /> CI Drawn to Scale: •❑ Not Drawn to Scale -OR- 1 square= feet i J <br /> APR 0 7 2021 <br /> MARION COUNTY I <br /> . . . . . 5�:- . ,,a i•-,1/4. =N BUILDING INSPECTIIOO <br /> 7'4. /7 <br /> THIS SITE PLAN WAS PARED BY <br /> THE APPLICANT AND USED FOR <br /> REVIEW OF THE EXISTING SEPTIC • ‘.N i <br /> F .. <br /> SYSTEM.ACCURACY OF THE SIT'F, <br /> �- <br /> PLAN CANNOT_ E GU. . . .ED. . . . . . . . . .t -s'v�. <br /> I <br /> �� <br /> • • • STATE•CERTI•FIE•D (G.,,.� • <br /> Waste Water Specialist , <br /> . • ��.` EH-W1014892. �„��_ !r f. . <br /> Kimberlee A.Aldrich S t,c L-( <br /> . . . . . . . 4,,,,,,„...e_, <br /> pd <br /> --q-, . , -6 . <br /> , . . . . . . . . . . . . . . . . . . 4 . -, -. <br /> ,•.,- <br /> . . r . <br /> ___. <br /> tr. .:..-,_.-i"N"-..a.- -%,„1,v-v• L p.--- ,...---- <br /> X01 ( ' <br /> I certify,,at th• a 6form <br /> �e ation is accurate to the best of my knowledge.I AM nth,[ ] Owner or[ ]Authorized Agent. <br /> NAME(please i rint): Telephone# <br /> Applicant's Si: tNure: Date: <br /> Applicant's ...�1_Address: <br /> ZCity: • . Zip: Applicant's email: <br /> S-31-1-2017 l <br />