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11473514
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11473514
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Last modified
4/19/2023 2:58:23 PM
Creation date
3/24/2023 12:06:31 PM
Metadata
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Template:
Permits
Permit Address
11163 DOGWOOD CIR SE
Permit City
Lyons
Permit Number
555-21-011416-PRMT
Parcel Number
093E18AB01500
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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/—ei/'y/ti —, -- <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT nEC u V 1[. iI ,:1 J <br /> Site Address: , ( `1 L3 `; c/UW 0 ii cI� Lye flj� NOV 1 6 2021 <br /> Total Acres ' / qq IO�yN COUNTY <br /> 7 <br /> TAXLOT 1 t MARION Y<J 1 V V l,J 'C_� <br /> 0 Drawn to Scale: ,(o5=100 t•❑ Not Drawn to Scale -OR- 1 square= feet 3UILDING INSPEc ION <br /> . . . . . i '\. . .. . . . . . . . . _ , <br /> ' \Ark— <br /> dTcp( Septic Site Plan <br /> • 1,e4 } , I.a 0 ell) " - . 555-21-011416-PRMT <br /> v RONALD$&BARBARA J CROSI <br /> • • . - .,.•_: • . • <br /> 11163 DOGWOOD CIR SE,LYON <br /> 093E18AB01500;0.37 acres <br /> .044 . • • . . • . <br /> t'�, \ ' <br /> N ,./- is <br /> k6 • .6) <br /> . 41 - • r•c <br /> Ai :. <br /> . �(>/ 0. • •a(. • <br /> �J • ,,., • <br /> . . . . . - ,-- . • •C•1 g • • • • _________. . . . . . • • • <br /> I certify that the above i fo mati n is accurate t the best of mlvi knowledge.I AM THE[ ]Owner or[ ]Authorized Agent <br /> NAME(please print): v u_ W_ f' Telephone# ( 1571 -- <br /> ROgi . <br /> Applicant's Signature: <br /> ���� Date: _ . <br /> Applicant's Mailing Address: }�' �' 7t 7 <br /> City: �1�1?�' Zip: C/1`�7c icant's email: 1 I444h,PIl)5 W If�..t:/V1I <br /> S-31-6-2020 G:\Forms\Septic\FORMS\S-3la SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />
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