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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> 0 Drawn to Scale: 1 square= 4/0 Feet Not Drawn to Scale:Total Acres 'I,37 ac <br /> h-ea-ci" ' ' ' 4,1' •65b1.124 <br /> RECEIVED • <br /> 4— vie..8-.5- --1;1 <br /> AU6 14202k . . <br /> • <br /> • 4, <br /> • 4.4‘/•'• <br /> • <br /> 4 <br /> tY <br /> Cf <br /> etof <br /> c/03- 4- 0 fuve_way <br /> . . • • - • <br /> --- <br /> . . . <br /> (9 • • • 0 <br /> P-Y-.2- <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [JO Owner [ ]Authorized Agent <br /> Name(please print): cL My telephone number is: c s-is?7 <br /> Applicant Signature: Date: .S —/3 - 2.4) <br /> Applicant's Mailing Address:/c-f(7)/ CA,/ c<> City: 0-7732.Vb ‘Ne Zip: / cr)/ <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> A-33D Rev.05/2011,09/2012,2/4/2020 <br /> Page 4 of 5 <br />