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SITE PLAN MUST SHOW ALL PROPERTY LINES AND D.IMENSIONS I <br /> ❑ Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres <br /> Nii <br /> - ' ' ' ' ' ' D • Ci [IVI_q <br /> j,:, .. .- ..''.)V't .,'C''''t. , . <br /> [1:) , . ---.' —7' . . 1...j . ,i:- t:; .,,,_,v..Ic.:. ..—.....'.;-;.7 . . . . . . . . . . . ''b' <br /> 'tv ARIc)N.CLUNr .5 / . <br /> • <br /> . . . . a /oD.VV--S'7 • I 1rL q S3_1 • i <br /> t la1 F_ �� <br /> `Y1 5 <br /> N . • • • • . • • . . • . : t: 1 U1 �. <br /> • 4j-- . (,p• <br /> 1 <br /> EL ,i" rarer' rLSA =535 ' <br />, T . <br /> _ <br /> a <br /> i t . . . . . . . . . . . . . . . .\./ . ,.,,,,,,,. . . . .. .._, .i. i ,,p.:,,,.. 1 <br /> i <br /> lk <br /> f certify that the above Information is accurate to the best of my knowledge. t:AM THE [ [ Owner or[ I Authorized Agent <br /> i <br /> NAME(please print):_ [S No-a C-K Telephone# 5-O3" 6 1\"e4(n ck <br /> Applicant's Signature: 1 r Date: 8_.I t4, - --2 <br /> Applicant's Mailing Address: C4.13S .. <9-- �! tka ')( •�F City:1)R - Zip: C7 3612... <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only)_Date: <br /> ALE LIPY <br /> py <br /> A-33D <br /> rev: 05/2011, 9/2012 <br />