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' SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIO n _ <br /> ❑ Drawn to Scale: 1 square= 15 Feet Not Drawn to Scale:Total Acres 1 C V 9`7) <br /> APR 12.2021 e <br /> f IAR(ON COUNT? <br /> . . . . . . . FILE lc 0 py . . . . . . BUILDING INSPECTION <br /> S5- ‘ 36.75= <br /> 4 389.73 ' <br /> • <br /> • <br /> • <br /> • <br /> • <br /> l� Existing /y. • • • : <br /> Septic � . <br /> flank xisting Drain Field <br /> 455 ' Existing // . <br /> : : ' .. .. .. .. . <br /> 7C,Q. i <br /> tv /V' <br /> . <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> -100 '-gyp • 1 Replacement Area <br /> • 221.32' . . Well. . . . . . . I. . . <br /> 50 ' 270. 93 ' <br /> II <br /> I • • . oi/it, <br /> •- - - . iii - • - • 1 • ...- . _ . • - • • . . . , . <br /> , pd, ad, .(0,.&,,, j . <br /> • <br /> ,$. tx, ao 0 : : . . .......... ..Propose• �oII <br /> - <br /> s • 3. 55 '. . <br /> • 903.9 . 73 - <br /> Howell Prairie .d SE <br /> . . . . .. . . . . . . . . . . . . . . . . . . . <br /> • <br /> • <br /> • <br /> . . . . . . . . . . . . . . . . . . . . . app.001.ea . . . . <br /> 6( r2/ -z, <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE [ X] Owner or[ ]Authorized Agent <br /> NAME(please print): Beverly Mack 503-881-1909 <br /> Telephone# <br /> Applicant's Signator / / Date: 11- ( - ( <br /> 2484 .2n Ave <br /> Applicant's Mailing Address: City: Salem Zip: 97317 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) Date: <br /> A-33D <br /> rev: 05/2011, 9/2012 <br />