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11853081
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Last modified
9/29/2023 1:58:24 PM
Creation date
9/18/2023 12:14:01 PM
Metadata
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Template:
Permits
Permit Address
5486 ANDERSON RD SE
Permit City
Aumsville
Permit Number
555-22-009140-PRMT-01
Parcel Number
081W16 00100
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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L �r <br /> AIVEr <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT y `.. <br /> 1 <br /> �-• �`�/ jAN 5 2022 <br /> Site Address: J / & AIDERL3^) l G,F/�.• S C — AtJHt S 0/u,C - <br /> b I W I�9 d�dt� O(�� Total Acres /.� Y'3U`iLD NG INSPECTION <br /> TAXLOT • <br /> ❑ Drawn to Scale: r Not Drawn to Scale -OR- 1 square= feet <br /> 4wt 11 1 / )(3o" DOC fail( i7 . PRWIlagg. <br /> NV 14 IAA/. 0° /Ppleik-• . . . 1 / <br /> 1yil1/4tN iv� e, q 1.1?2. „,,,„ ' <br /> acts 31 t4'� QQ''� ---V -' / <br /> w�,4u � „,t t ,�� / / <br /> 4 L a <br /> v rt ., �tlaw(1 <br /> . . . . . . `. !{at. . <br /> Sq <br /> ...i j <br /> Ill <br /> R . . . . •. . .... .... -;:. . . ,A__..„ . . . .4: . f N')C" ' .v.) ..‘0.51. 3 <br /> r- .r 1 STATE CERTIFIED - - <br /> • - .• - /. 6 - - a.)- •'''.-- s. Waste Water Specialist <br /> f* (7, EH W10147892 <br /> • <br /> *' � 1• ` I I, ► <br /> Kimberlee A.Ale rich <br /> '..• ..-"" e .‘-. 106 P3' - ' <br /> . . - • - ex• PIt1ck C-1� S4!2A) <br /> • <br /> apt L, 21 y.3 4,. <br /> I certify that the above information is accurate to the best of my lmowledge.I AM THE( ]Owner or utborized Agent. <br /> J NAME(please print): :e$ X e Pirrici Telephoner 5 3! 972 —Z if of <br /> Applicants Signature: G,E` J�' Date: <br /> Applicant's Mai g Address: 319.6 'l�i�'jK y /s414, er/.e 4, oR 9731 <br /> City: Set/ Wl zip: 913/7 Applicant's email: �r.a won d r9.�Q nr c,,, owl <br /> � 9 <br /> S-3 t-6-2020 G:\Forms\SepticWORMS\S 31 a SepticSystemSitePlaniteauircments for SITE EVALS 2020-07-20.doc <br />
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