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8573867
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Last modified
4/2/2019 9:36:13 AM
Creation date
4/1/2019 9:18:56 AM
Metadata
Fields
Template:
Permits
Permit Address
12255 BUDLONG LN SE
Permit City
MILL CITY
Permit Number
555-19-002101-EVAL
Parcel Number
092E24 00600
Permit Type
Site Evaluation
Permit Doc Type
Permit Document
Status
Ready to Film
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*I Arai <br /> " Septic Site Plan <br /> AN F9fIZROPOSEDRE.41DENTIA 555-19-002101-EVAL <br /> Site Addr G,.{ ..I^1p " _ ina. 1. RICHARD D& BETTY L BUDLONG JRLT <br /> Township Range Season Tax Lot 12255 BUDLONG LN SE, MILL CITY <br /> Subdivision IAC 092E24 00600; 38.19 acres <br /> n <br /> C3 Drawn to Scale;f t& 1_ •0 Not Drawn to Sento -OR- I tit <br /> • • • 5 • • . • at • , . • • , • lew , . . . . . . ••• . <br /> 14 <br /> , 401 . x • <br /> ' * * • • • • * 41A nuOt SI * eA11.1r°'rie.A1," d <br /> OD <br /> 41, . . . .,..._ . . .. . . . . . . . . . . . <br /> . . , � � tF��{r�J`� S� RAIL') <br /> ` /' « • �� r if <br /> .. • 3�S L F' 24 ;.,�,., 3o ,,.,A..., <br /> " . f . • . . <br /> r. • $ITE.PL�JN gPPI OV D FOR <br /> 't' f SEPTIC SYSTEM LOCATION <br /> • • • • • • . • • . » • )NLi'. IT IS WHBRESPONSIBLFPY <br /> OF THE APP ANT TO COORDINATE <br /> kEQUIR e eN S`WI'CH ALL.OTI-1EP S. <br /> • • • • ills . . . . ii./ 11-115 IS A OT: 'ERMIT. . • , <br /> 4,0p 2frw <br /> • • <br /> • <br /> 1.2S1 <br /> SEE FIELD WQRKSHEET <br /> FOR.L,OXA' 'ION Ol~ . . I_ .4 r « . , • • . <br /> #APPioWD USABLE A1A . FF`Z• . . • . . . . . <br /> 1 ♦ . . • . . • . . . . . . . . . . • # • . • • • <br /> .• <br /> I s rtify awl tat above Information Is accurate to the best of my knowledge.I AM TUE j I Owner aryl Anthorized Agent. <br /> N B(perIlk Pegg- ♦ _tootle de K 7°elephOntI 25,3-1‘733" <br /> • )I)- 1i <br /> Applicant's Moiling Addle= <br /> qty. - Applicant's o L C E 0 V C <br /> i <br /> S-31-I-2017 4 MAR 212019 -'' <br /> MAA )l ; COUNTY ♦ <br /> BUILDIINIG INSPECTION <br />
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