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1 <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: "5'15 & A di G'&`r-5 P'► le.e A-tit 448 t);/I e <br /> Total Acres <br /> TAXLOT <br /> L CaDrawn to Scale: • Not Drawn to Scale -OR- 1 square= feet <br /> Grek55 8....C_ • 133`-' 61 • . • <br /> toot a .� • t• <br /> . 2 d"l ` . . <br /> <' '-- 'Al • <br /> a , "kit"'. Po54- <br /> _ `' �� 6 _. Ate `�.. ,.. <br /> Os."'. 1vo & 5v.' . <br /> I is <br /> %'f�u <br /> -` ,� 1 <br /> [pall' . <br /> ( '� <br /> . • Ij • er;;5S'•h. . . . . . . . <br /> Ji4J£. <br /> l +utr . ./ :.-- . . �'sop 0.3 cc 6 <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE I I Owner or(juthoriized Agent. <br /> `J NAME(please print): 5 R r j 4°n pw1 Telephone# 0,3" 732 -Z 0/ <br /> Applicant's Signature:, — Date: <br /> Applicant's Mail g Address: 36 54d 2 f m'r -Pi v / <br /> City: 6 q 1�/' �1 Zip: 91 7,/7 Applicant's emai: �r•aC#/dVdrciii7V3M4 ,• e0$ . <br /> S-31-6-2020 G:\Fonns\Septic\FORMSIS-3Ia SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />