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11855965
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11855965
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Last modified
10/5/2023 2:01:23 PM
Creation date
9/19/2023 1:55:59 PM
Metadata
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Template:
Permits
Permit Address
33693 RAILROAD AVE SE
Permit City
Gates
Permit Number
555-21-005331-PRMT-01
Parcel Number
093E25DC01200
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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• <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: 57V1"{ Oti 11fc)CA 6 1 )V -14. ' <br /> �7 <br /> Total Acres.v 1 04 <br /> TAXLOT <br /> ca Drawn to Scale: 5O •❑ Not Drawn to Scale -OR- 1 square= feet <br /> • <br /> , . i fr <br /> 1 .1 <br /> . v. . . STATE CERTIFIED • • • • • • • • • • • • • ; ' • 1 • • <br /> Waste Water Specialist O� <br /> •F EH-W 10147$92 • <br /> 4 IA .1°.4 il ' I it . , . . . . . l'A." b • . • . . •. . ' . <br /> • • Kimberlee A.Aldrich' / ' <br /> Ir <br /> � o <br /> 3 <br /> a <br /> • <br /> I certify that the above informationfo is accurate to the best of my knowledge.I AM THE I I O <br /> wwner or 1 I Authorized2 Agent. <br /> NAME(please print): i1 ✓Q. L.. Telephone# U J)' �/61 3- )0 33 <br /> • <br /> // I��,,yy ae� py��j 1 <br /> Applicant's Signature: 1� 3 e. tOO�"{' `� Date: 2 <br /> Applicant's Mailing Address: POq (bOx 1 1 17 , <br /> City: �roow0 . lip: l7✓°5 Applicant's email: f cSl COt@ ALL- Seftt.. , <br /> S-31-6-2020 G:1Forms\SepticlFORMSIS-31a SepticSystemSitePlanRequirements for SITE EVALS_2020-07-20.doc ' <br />
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