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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT I r C"F. 1 \Y n <br /> Site Address: l4' '`' ' c's:7_.:°.-- ,) !' <', _;"- - J <br /> Township can Range ) Section ..-'' Tax Lot 0 F ,-OD Total Acres i�! FEB 16 2021 <br /> Subdivision Block Lot b ARION COUNTY <br /> 4 Drawn to Scale: i.( - �. f ll-D11 INSPECTION <br /> •❑ Not Drawn to Scale -OR- 1 square= feet <br /> . . - • .. `- . . - - . <br /> ii/ <br /> ••` - � ....,./ Y" NEVI] <br /> cieolctf v 1 �,, � D. 4 ' --Y\ . . . . . <br /> tj ...._ -,cki,,::,..:LI .;,,,o;„ <br /> "'-.. , <br /> . . . _,)4.1 v-i 7., . . /. . ./. <br /> \ . . . . . . . . . . . <br /> : .. . . . . . . . i . , - • h r,. .31,_ir:,-;_.../.•,„:, -7:-7-.7-,,T7• '-'7.-'S--,,. '-.-14 . <br /> • t Z J ^a. <br /> • STATE CERTIFIED ? �� = � �.r .,f <br /> Environmental Health SPedelist r,, `* -i !! _.'--f ,v. <br /> ‘C II.'''. EH-S-1i...•:_ : . .,..,..:: k <br /> 1 _ <br /> Ro•el`GOOUWl . •r 'l <br /> -kip, • c. • , • - •Y tS:` ,' <br /> . . APPROVED FO.f ' EPTIC . . .. . . ;r. <br /> iNSTALLATIONVNLY" <br /> • it is the resporisiNlty of the D.applicant to co�Qr i - •nate these • EX P <br /> • requirernerTts•W th all others.• ,�� . . <br /> • . . . . <br /> I certify that the above information is accurate to the best of my knowledge.TAM!'R1 [ I Owner or[ I Authorized Agent <br /> NAME(please print): Herbert C.Wilson Telephone# 503 -873 -7157 ' <br /> Applicant's Signature: I011 co Date: <br /> Applicant's Mailing Address: 8778 Cascade Hwy. NE <br /> City: Silvertan Zip: 97381 Applicant's email:lonepineseptics8778(gmail.cam <br /> S-31-1-2017 <br />