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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS Li <br /> © Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres i ? / 40 ,, ...... <br /> n ,.... <br /> „,...iivi <br /> -7,N --'1/a 1- .- l60 .4 . . i . . P. tD <br /> f� If; 1 MAY 1 2622 <br /> e2A:: ..,h- I-- 'IC, 7 <br /> MARION COUNTY <br /> ITY <br /> BUILDING INSPECTIOI\ <br /> i *Iyr„, \ENR. SED\ <br /> LV , ' ' , I . /.-1. .4.$7 0317-/--.- <br /> , >s .4 <br /> - -,.." <br /> . . ® / . . oi. <br /> .� � r n <br /> J .APPROVED.FQR 'i,EPTIQ , 4. <br /> i-• TALLATION ONLY" <br /> It is the're: 'I -_' ',.Ay of the • <br /> applicant to coordinate.these. <br /> . . . . . . . . . . . . . , . . , requirements with all others, . .. <br /> r <br /> STATE CERTIFIED 1 • • <br /> . . . .. . . . . . .i . . . . . . . : Environmental Health Specialist <br /> . '. . . . . '? Of <br /> , \\17 " i .t........&_:_. - -4 <br /> fir. <br /> Robert Goodwin , <br /> c'e 6 3 — <br /> I certify that the above information is accurate to the est of my knowledge.I AM THE[ J Owner or[ j Authorized Agent <br /> NAME(please print):719,704 / itbi -ekca/-1/4. Telephone 41 . °"' s3("yam '7" <br /> Email Address:1A / <br /> Applicant's Sigpatme: ' Date: 57 // <br /> Applicant's Mailing Address: / /,r�f7� City Zip: q7 / <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) <br /> F:1rORMS'VADMIN\A-33D RES SITE PL 3 .DOCX rev: 05/11, 9/12, 3/15, 3/10, 4/21 <br />