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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to.Scale: 1 square= Feet Not Drawn to Scale:Total Acres , i la . <br /> -9H © .) V ,--j\) <br /> w , _ _, <br /> ..._, <br /> 2: <br /> kJ .. i •• . iMiARION.COUNTY9 �,���. .is <br /> iii . iii . . i ; . \ i <br /> . . . ....... .. . . . ..MAY <br /> . . . . • . BUILDING INSPECTION <br /> Di . 0-o• eire,z4 .8-6e: • <br /> -: <br /> . . <br /> i . . . . . . . . . . . . . . . . . . . <br /> .,,,i . . . . <br /> tr, . . . I eetoiA 41€,.01/4. . . . . . . . <br /> ,,,x.- i .. .. .. .. .. ... .. .. :41 .. ! .. .. ... .... ... .................._.. -------„..........,....„..:. .. ... ... ... ... .. .. .. .. <br /> F • '. • 1)r 5¢ tt-• 1 oa,w lF <br /> . • . . . . . . Ill3 III <br /> te <br /> • <br /> . . . . . . • , . c. . . . . . . . . . . . . . . <br /> I <br /> r <br /> . . . . . . •. •. . .G . F . . . . . . . . . . . . . . . . . . . <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [ ] Owner [ ]Authorized Agent <br /> Name(please print): Avvi ....0K i QalCu.,..O My telephone number is: 9 T I -sde- 2(D 31 <br /> Applicant Signature: Date: 5/2.9Ay <br /> Applicant's Mailing Address:'$40 E ‘1%,rk k w.o� Si City: S*uy4�n, Zip: 17 3133 <br /> b FOR OFFICE USE ONLY ` <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> A-33D Rev.05/2011,09/2012,2/4/2020 <br /> Page 4 of 5 <br />