Laserfiche WebLink
a(-1-• ta\,5D\ <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMET5 I c O V <br /> Site Address: J 1 )I )—).4.-.54,(4,- rei. SF' MAR 19 2024 <br /> or),\Ai 16 Oo 100 R3 5330 Total Acres I RION COUNTY <br /> TAXLOT <br /> ❑ Drawn to Scale: •Ei Not Drawn to Scale -OR- 1 square= feet BUILDING INSPECTION We <br /> Z. No w431 s <br /> 0 / <br /> 3 904m ra.,) f h <br /> CA64allvr rt,4 336 <br /> ►o Holt . - I6 rs, Al lg. <br /> 09(4' <br /> ?‘'. ®f . <br /> q" &0 \ T-7----77.—'---Th <br /> Psi(' lroe95.E aad kc f \ . <br /> 3 <br /> \ D <br /> • • • • • • • • • • • • • • STATE CERTIFIED' <br /> 47 • . • <br /> . Environmental Health Specialist <br /> {H1ttW. Knudsen <br /> EH-S-10117541. . . DENIED <br /> at <br /> . . . r,A,swlt,.r (01/4 - S <br /> r, <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ ] (O��wneer or <br /> [ ]Authorized�ri Agent. <br /> NAME(please print): }11I' ( Telephone# ✓O3--* j0—J7,3 <br /> Applicant's Signature: 4 /q// Date: 3-I7 f 2 O�tq <br /> Applicant's Mailing Address: f (L6,44b \1'wv►sw�V" rd. 45 ` � 5" <br /> City - Zip: O R Applicant's email: {L'' li{� {c h",&,.. 1w)'Cot.,, <br /> S-31-6-2020 G:\Fonns\Septic\FORMS\S-31a SepticSystemSitePlanRequireme is for SITE EVALS 2020-07-20.doc <br />