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12382247
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12382247
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Last modified
10/8/2024 4:05:01 PM
Creation date
9/21/2024 4:11:06 PM
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Template:
Permits
Permit Address
14666 LIBBY LN SE
Permit City
Jefferson
Permit Number
555-24-004269-PRMT-01
Parcel Number
092W32 00800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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a Li.6oLt a isP\ <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT RE EIVED <br /> s to 00,,ess: 14i‘46 L;3h,1 5C J:e. :r ►. JUN 27 2024 <br /> $Qo. Total Acres 5.3 4 <br /> T <br /> CI Drawn to Sca[e: mil° NotDiawu to.Scale -OR-- 1 square feet <br /> "APPROVED FOR SEPT <br /> IC • <br /> . . . . . _ . . . INSTALLATION ONLY" . . . <br /> . . . . . ,... . . . . . It is.the responsibility of the • • <br /> applicant to coordinate these <br /> `sTAT - I Ifchlirements with all othersPr <br /> Waste Water Specialist. . . <br /> EH W10147892 <br /> . . . . 7I9./ 9 . . - <br /> Kimberlee A.Aldrich <br /> `1f 4. . . <br /> u646.1 <br /> - . . . . •. . . . • ote • - • -GT01 - . .testutt <br /> ar ', . <br /> . tx3445 - . rwc • <br /> 90 r del to 0;4.. •0c... '° Q . <br /> 114' <br /> !certify thatthe abovebiformatton is accurate to the best of my 1cnowtedge lAM THE[1 Goner or fiefinthonzedAgent <br /> NAME.(please p►int): o CnYv1 Telephone# 5d 3- .f 3z�zq 9i <br /> Applicant's Signal ua. Damfir. .. <br /> Applicant's Mail w g Address: 3s1•I? - G + }` <br /> City: f it44.1 Zip: ?731 . <br /> Applicant's ��1� g4�tt3Y9l�Y9rl�1� 4t�• Cc►7 <br /> S-31-6-2020 OAForms1SeprielFORMS1S-31a SeptioSystemSitePtanReguirementsfor siTE E'VALS 2.020 7-20.doe <br />
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