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12357532
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Last modified
9/27/2024 8:49:56 AM
Creation date
9/3/2024 10:18:59 AM
Metadata
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Template:
Permits
Permit Address
1850 CHEMAWA RD N
Permit City
Keizer
Permit Number
555-23-005874-PRMT
Parcel Number
073W04 00800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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f <br /> • EXTERIOR ADDITION/ACCESSORY BUILDING <br /> SITE PLAN FOR SEPTIC SYSTEM RECORD REVIEW <br /> /� / .r rcr:Ld 9f1.toi3G <br /> Property Owner: A raciO>) Li.-C v rtc� �'+1�/c t Activity No.T1N.S ice' .Gca :k. 4 -/Oi 7D <br /> 2 Groh- : J J� I' 93 <br /> Site Address: ace.) �'ar�a /�J Date: <br /> ivQi _ f - Qr- 9.73Qs <br /> \"SITE PLAN MUST BE DRAWN TO SCALE SCALE: 1" = ft. <br /> C.4err.44.414 20 <br /> L 1 <br /> SI <br /> le <br /> j2e(' <br /> k <br /> Z <br /> Ci r,P`k <br /> ,, N.o .`) <br /> 0 <br /> f <br /> 'i' Pt -Pk <br /> (i ' * /0 6/A 4 j j,1'S <br /> 11) <br /> Sa'f?' <br /> '7----rcirdj;) .6-#Q, ; <br /> am, ,l <br /> P)Q4PAl4C46i"k:3, 1 <br /> 2") /2 <br /> Please Show Septic tank: 0 Drainfield: 1001 Easements: <br /> all Details: Well: ® Property Lines:21.§.L. Excavations: 47" <br /> Buildings: Ponds&Streams:q--•_..- North Arrow: t <br /> Driveways: Direction of Slope: 12%1 <br /> I certify that the above site plan is an accurate representation of the conditions I found on <br /> the property and accurately identifies the location of the septic system and proposed <br /> development. c <br /> f -.- <br /> Drawn by: ji. <br /> Name:(print) Signature: <br /> (licensed installf/%1 <br /> , c cons t or owner) <br /> MC1S-S38 <br /> REV 6/98 <br />
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