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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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d‘L\- 656 -7 .(s.T7 ) <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT R E C•E 8 E tom' <br /> Site Address: 9 3 7 s <br /> � .,:„. RAs� Avw5,i.Me, OA 9'13aS JUL 02 2024 <br /> TAJELOT <br /> d 1 ,4 .L1 b I b U Total Acres 2.S <br /> O'Drawn to Scale: ,Not Drawn to Scale -OR- 1 square feet <br /> . Q <br /> 441, <br /> . . . . . . . . r s3wl . . . <br /> f %.- - • - • ...!),/"N - <br /> t <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[.]IN B [ <br /> Owner'/� or[ • <br /> /n�thorized:Agen. <br /> / <br /> NAME(please.print): +0.*SG) Wi.U . <br /> Telephone# c1 o-3-S 1lJ 980 <br /> Applicant's Signature: Date: 7!a r 4 <br /> Applicant's Mailing Address: f p O Be.* G.'•1".. <br /> City:. '?;7 .p: 9?3 g 3 Applicants email A D €X cava. r 0, ' nvo,,,l •cavil <br /> S-31-6-2020 Worms 1Se c\FORMS\S-3la <br /> Pa SepdcSYstemSrtePlanRegoitements:for SITE EVAI.S_2020-07-20.doc' <br /> lEvwuoy c.o..\\ ah—si•-2 <br /> 4, <br />
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