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• <br /> SITE.PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑- Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres <br /> (1\ <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> • . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . <br /> tf••_ <br /> . . Ir •11 ! 1 r� <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [ ]Owner [ ]Authorized Agent <br /> Name(please print): My telephone number is: <br /> Applicant Signature: Date: <br /> Applicant's Mailing Address: City: Zip: <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> Page 4 of 5 <br /> A-33D <br /> Rev.05/2011,09/2012 <br />