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• <br /> i <br /> J •• :_.. , SIVELPLAN+ o p tq$D D.RESIDENIIAL DEVELOPMENT <br /> Site Address: 8 ,: S1 %Pk 'Ff ltt-4A <br /> Township' Range,_._...,,Section Tax Lot Total Acres <br /> a Subdivision Block Lot c3 <br /> jd Drawn to Scaie:1: ' .❑ Not Drawn to Scala -OR i ,-. eet, , <br /> D o . Is <br /> I U - SCo +•` fi t <br /> , 7o t. mq. 1sot4r ,- r 7ci/ <br /> E-s5s)r;Y. m � <br /> ill � s6..11 <br /> iota ••k 3o " K;sc_r -t 1 ; C <br /> . .1 ,9\:..,\O . . . . . . . . . . . . . . . . <br /> ply-. . . <br /> • • ‘N, . ,. t <br /> g 10.f d_ Tre11.C.A.44 w 1 \ % <br /> i 1461f151‘4,r- f'4), ItIlitereTes.paerlife5 <br /> 5V. '• . .. <br /> STATE CERTIFIED <br /> Waste Water Specialist <br /> k �` EH-W70747892 <br /> Khnberlee A.Aldo 0; <br /> iSI)-3 • • • • • • • . <br /> s <br /> I cerlify.that the above information is accurate to the best of my knowledge.I AM'rite 1 [Owner or J'J Authorized Agent, <br /> ii TAME(per prlut) CM-Mal,: ycal�'�[ (��� �j ,rsIephone <br /> -484- by <br /> 31 Applicant's Signature -_ W Date: Qt 2 <br /> Applicant's Mailing Address QQ L}Q(� <br /> City enp Zip: (MIN Applicant's : erflmc 1..� se".... inr�.tom <br /> P <br /> S-31-1-2017 <br />