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SITE PLAN FOR PROPOSED RE S1DENTIAL DEVELOPN1ENT" <br /> Site Address: 17 b t_o , .t..t✓eiG+..-„ 2 I)e.,'s"o:t•'`C3'L. <br /> Total Acres `ia1 11 <br /> El'Drawn to Scale: 9-Not Drawn to Scales -OR I square= feet <br /> ` t ,etSr <br /> yvt. <br /> ' u� 7 1 / 1 <br /> o s is. ( . <br /> I ceAYfy that the:More Information Is accurate to the best of my knowledge.IAM T1IE l l Owner or i l Authorized Agent, '. ' • <br /> NAME{,leaseptiat)c 47, KC'•'S =Telephone# Scs—S-SiiS—4,0 VZ <br /> Applicant's Signalucc Date 5 `2..5/z3 <br /> Applicant's Mailing Address: P: 0}- G?X lt(D► / , <br /> Cty+(�tqS jJe t� Zip: J2 x Applicant's email: F-�j 0-AZ � a...A.4i 1. LS�v <br /> S.31-6.2020 G1Fomis\Septicll^ORMSIS-31aSepti ysystemSitnl'lanRequircrnents for SUE EVALS 2eY10 p7+-✓20.doc <br /> STATE CERTIFIED 77--- <br /> Waste Water Specialist <br /> t1/4-T. ;, EH-W10147892 <br /> Kimberlee A.Aldrich <br />