Laserfiche WebLink
SITE PLAN MUST SHOW ALL PROPERTY LINES AND LICIE i'1 �_./ E <br /> r <br /> ❑ Drawn to Scale: ( square= 3��� '- p Feet Not Drawn to Scale: Total 0 7 2022 dri <br /> . : . ** *4. i'h'i 1;4'-i• . . <br /> ▪ . . . COPN1 En . . . . . . . . . . . . . cse c'vc,La,S t O R q--7 02:6 <br /> PROPOSAL. DOES NOT MEET CURRENT• • ! . <br /> Septic Site Plan ? -?' <br /> • MINIMUM DEQ•ONSITE SEW E DISPOSAL. . 555-22_010189-AUTH ;z, <br /> • RULES. • . . .� . ALAGOZ, SERGY <br /> dame Date 13039 BETHLEHEM DR NE, GERVAIS <br /> i 051 W30ACO2200; 0.81 acres <br /> • v <br /> v 12 � O 04,-) i�' V S• ! k' <br /> .. AA.. ,e'l pr- 0 A-"ct°—. .. ' (° - -- H . . 3 . . • • • • • • • • • • <br /> • Fi c-____ N:.-1-D <br /> - --\., <br /> . . . . . . . • • q) ., • • , • • ; •• . . . . . • • • • • • • <br /> ,z : 4, <br />, . .Q . , . . . 1--,,,, . ; .. .x• . . . . . . . ,. . . . . <br /> . . . . . . . . <br /> • <br /> -t , , i • • ‘s.iAs r``) •L.47 . . . . • • • • • • • • <br /> . . . .cY . . i��. : . t. .� . <br /> - .. � `% r . ("— . <br /> i Tx� <br /> S •i 1• ` ? <br /> p4-c <br /> . . I,• • 1Fron-(-. . . <br /> ge�-t. e..he m. Rof <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE [ ] Owner or [ ]Authorized Agent <br /> t <br /> NAME(please print): r . O Telephone# <br /> Applicant's Signature: Date: ' it JCE'1/2 - <br /> Applicant's Mailing Address: / 03 ( g_e_ I the-N1 DR- City: &er'vaU S. Zip: 97°7-6 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) Date: <br />