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, '. zq o-oz68S06E <br /> SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square � <br /> = <br /> r W Feet Not Drawn to Scale:Total Acres <br /> 1 . . . . . . . . . ./34 .tii, . ;77 . . . . ./ . . le ' • <br /> ALi >! sa . . . 1 . . . ...74e bhi <br /> IZ . . . . . . . . . . . . . . " •B•A P\•‘q• " • • • • • <br /> D , . . . . . . . . i:). .a a)(eS ii '.. ,_ .i I:I e —.,—.IL . . . . <br /> rs <br /> 11 ( -------�: <br /> w <br /> G <br /> . * _ _ - . \Ma41 s. Cl. • It/1 W W". . <br /> 1 6 . .. 6.04-: I° --c, kv.w. <br /> R <br /> 1 . . . . . .6: : . 61\e-y . . .`1110 2 • • <br /> s 1 R'a.1-, .--. . t.k) ttl•lj'.,11 .% b <br /> - - - 0-N -,X -_ _-, - - . <- - - CI `(k0 C:jC) ef) • - f <br /> r - . . . r <br /> ‘14 i . is' <br /> ?' ` u <br /> W>' aO RN KE))y • 1411,,e RD • <br /> 1,1-46,420! . .. . . . . .. . . . . v . . . . . fi. <br /> r I certify that the above information is accufate to t�e best of mowledge. I AM THE [ ]Owner [ ]Authorized Agent <br /> Name(please print): GL ac.YEI My telephone number is: 63 — _0„01 <br /> Applicant Signature: ,fir Date: -a.&-=Aoali <br /> g� � 01.) <br /> �� �A n <br /> Applicant's Mailing Address: I D�q et riV h�j \ 1-1,1-1, ® <br /> City: \r ( ) Zip: '"! ' J 1 5 O� <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: • <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> Page 4 of 5 <br /> A-33D <br /> Rev.05/2011,09/2012 <br />