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I CE - VI <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT JAN O 8 2021 '`1 <br /> C�7 <br /> 25-#29� -4 / /dam M./ f�LDIN N COUNTY <br /> Site Address: i �� � � �'� BUILDING INSPECTION <br /> r45, D/_ 92 'J Total Acres <br /> TAXLOT <br /> U Drawn to Scale: Al Not Drawn to Scale -OR- 1 square= feet <br /> • i ( I . . . . . . . . . . . . . 0; 4; 0. 01' igive.f- V <br /> • \it, •,/ • 1 • " 1,1A • " " • • • • <br /> • • • • J ( I • • • -t4. <br /> vk . .,e6/ "-' . . . <br /> a7 o <br /> . ' . . . . . yv .._ . . <br /> 1. <br /> „ ,tzl, . . . . . 1 <br /> . . . . . ,, . . . . . 1 EX P I <br /> . . <br /> . . . :N. . . <br /> Septic Site Plan . <br /> 555-21-000222-PRMT ti 'f ri ` <br /> << <br /> ROLEY,KENNETH L Z i' . `` 4 <br /> 25295 SANTIAM PARK RD SE, LYONS C' f•Q �•LL �--pY sib: / t G <br /> 092E22C 00800; 0.86 acres CI . I . . 1 . . . . J . . i . . . <br /> t .\ r'/ . . . . . . . <br /> . ' r . �Tee: ov `x' � •. . 3. . . <br /> . 'r • . . . . cirai, .- '", t. \. . . . • . . . . . . <br /> 4s-1 <br /> . . . . . . ,Yyfi� . . . . . . . . . .}I .Lof .f /3 <br /> 1 i • . <br /> . <br /> • f P4 I( a G R <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ ]Owner or[ ]Authorized Agent. <br /> NAME(please print): K e vl ale-ill / Telephone# Sa > '` 8' <br /> i 0 <br /> Applicant's Signature: /U.i.z.b, ,.� �// f / Date: a//e /� 2-11 <br /> Applicant's Mailing Address: L2)67 ✓/.� f)j" I/e it'`✓e(7O t irr� f-C, ,� t,./�, gie ,g 73 / <br /> City: `17£!. 1e PA Zip: 77?O 6 Applicant's email: 7rf_ki `d7 J I i i life. c e,2-j <br /> S-31-6-2020 G:\Forms\Septic\FORMS\S-3la SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />