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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT� <br /> a-% eav <br /> Site Address: `\ (P � �;\\ Z U, RA-- R�5 Vp <br /> Qii ll`- 9 -7 3 (6 01 <br /> Township Range Section Tax Lot Total Acres ‘2-. <br /> Subdivision Block - Lot <br /> ❑ Drawn to Scale: •❑ Not Drawn to Scale -OR- 1 square= feet <br /> Z.. Cp cia _ . . /- • • <br /> • <br /> C. ' . <br /> lt <br /> ,ji 7:— . • • ,- ......_,..;• ?I'S), . . . . / <br /> . ;,5,- .. . . . .1. . . . . . . . -'4. . . . ,„,- . . . . . . . . . . . <br /> f <br /> r_ <br /> • !° . ,ct- . . • . <br /> ktt- <br /> ,. <br /> t ' <br /> . . : . . :///. . . . . . . . . . . . . . . . . <br /> I. <br /> .e/111 <br /> ,,. <br /> i �s <br /> in • J <br /> kip_ <br /> s <br /> I certify that the above information is accurate to the best of my knowledge.I AM 1'Hr,[Cner o [ ]Authorized Agent. <br /> NAME(please print): V Px 55 -'� 5 it C C )<�✓ C Telephone#. 50 3 - 993 D --q 8"S <br /> 4-1 <br /> - Applicant's Signature: \ (� Date: <br /> Applicant's Mailing Address: K` C) • b@ x la <br /> City: 100nA CAt(ln Zip: r_9°, Applicant's email: ? I e tv\C� po,,n Ti Y\c, I nCOC �j wick r I' C, <br /> S-31-1-2017 CI "7 (0 a J J LI <br /> 555-00 -001,g- g- ` L <br />