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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT TWO(2)COPIES REQUIRED <br /> j ,Owner(s)Name: Phone: <br /> - <br /> ..ddress: City: Zip: -- <br /> j T ,division: Lot: Block: Manufactured Home Park:. 11 <br /> .ssessor'Map#(T R-Set-TL(s): -- • - • Total#Acre <br /> Zoning Designation: Planning Ma <br /> SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale:1 square= <br /> ❑ Feet Not Drawn to Scale:Total Acres ,_ .._ <br /> 13, 8s c-N <br /> AJ0C _"6 /1\ . , <br /> • • <br /> , <br /> iI Sy, ' Pae p.krt' • •• . <br /> ...[\.., -- ...------ •••••••157.21 <br /> \. 15);14i") <br /> /kill� <br /> w . <br /> • <br /> AV P- <br /> • <br /> . • , _• . . . .. . . s • . ,ic• <br /> 0 <br /> • • .S.rp�.�� • •.b ate-N. . . . . . • <br /> I certify that the above information is accurate to the best of my knowledge. I AM I•HE j ]Owner or [ j Authorized Agent <br /> • <br /> My telephone number is: NAME(please print): - <br /> Applicant's Signature: Date: <br /> Applicant's Mailing Address: City: Zip: <br /> .......... <br /> FOR OFFICE USE ONLY <br /> PLANNING: ' ; Date: <br /> • <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 <br /> • <br /> I <br />