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• OA L£1 1.4/11 1•WA,11,14 <br /> YuLu 4unua.-r... ..^...-7.-------1 .. . <br /> Property Owner(s)Name:�1Q -CX t' 51V\V.o� Ts r A \ • • Phone: S63 q3B 5CR/ <br /> Site Address:,.4.52o. .c+en f.c' LA-1.S" - . ' City: SA 4,9 a-... Zip;473/-7 <br /> • • Subdivision:. Lob Block: Manufactured Home Park: Space: , <br /> Assessor Map#(T-R-S c- s):o'�W 1-7 J) IS—C3c) Total*Acres: 2• t <br /> Zoning Designation: K • PlanningMap . • <br /> ` u-SITE PLSHOW <br /> AN MUST ALL PROPERTY LINES AND DlidiNSIONS • <br /> • t Drawn to Scale:I square I G . <br /> ❑ • FeetNotDrawn to Scale:TotslAcres - • - • FILE <br /> . . __,_ _ <br /> �� <br /> ... . ,:•• • • .. .:..,,..__.,_ 1 11.11 I Fli di' •44 74__5...pi,:f. ..)...,..i' .,....,.. .. • . •. ;. . . . . . . .. . .•. .. . • . <br /> ..... ... . . .. . ',SAW.4.-..:-". .--..r-..-. • . . . . .. . <br /> doe I-s • ' <br /> • <br /> 141 ry ,Wi=-1- . f <br /> -71 . . . •.. .. . . • .. .. .. .. . . . <br /> c),‘,. <br /> _.,. c ; ,1' .��9' . <br /> . . /{' . I• 1( <br /> ........ Coo' et-- l . ( . . . . <br /> r. Lens f <br /> • I IQ i ____„1,5 -0?E" I / <br /> i 't • .• 1 <br /> . .- _ . . . . . . . - . . . K)0r--1-1� . . . . <br /> `1.<,....:„...2 2/Aec:�s'sEras. . . . , . . . . .. . .1 : . . . . . . . . <br /> • <br /> ' • " . I. • ' ' '—'---- --. —' ' _ . Ta<wi- „,--t3ci..y,. • . . <br /> • --„....__ ...,c, ,... , <br /> . ‘-- F-'. ---.-L----.----L_LL.L.I.1: - . -- - <br /> D-,....1iA.,, <br /> 6 <br /> . <----- • ,,,./E--T.H. n <br /> I certify that the above information is accurate to the best of my knowledge. IAM 173E bQ.Owner or' [ j Authorized Agent • •• ... <br /> My telephone number is:503�/3f�Sdes1 • • •NAME(please print): I4k-�.71-k-I5/1i--I . <br /> .Applicant's Mailing ss Date: <br /> Applicant's 1vFailingAddmss: c� S�e�l� L IV S:c City ...c.a. 1•-e 4•••••% Zip:'6t'73/7 .•• . <br /> . FOS OFFICE USE'ONLY • . <br /> PLANNING: • • ' • . • Date: <br /> PUBLIC WORKS: ' Date: <br /> BUILDING INSPECTION:Acceptable for Planning requirements only ' • Date: • <br /> A.-33D • <br /> rev: 10/02 4/03/11/03,01/04 • --IECOVED <br /> . - - • : 2C?5—C°cP --Ste- . • - DEC. 0 4 2020 <br /> ---CO:BUILDING INSPECT <br />