Laserfiche WebLink
r 1c\- Do5-7 9 , , „..„ <br /> Eck <br /> SITE PLAN/5-'1 MUST SHOW ALL PROPERTY LINES AND DIMENSI APR0 <br /> 0 wn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres APR 0 9 19 <br /> BUILDING INSPECT! <br /> • <br /> . r .P . rti . . . .P1 'f>%. <br /> •q • ” • <br /> . . �. F= . _�__ <br /> (4... • • • i• • .• 7.• . 1.,pelp a. . . . . .,i fe)&t . . :. <br /> % <br /> c . .i <br /> . , . << . . . . . . , eV' • <br /> NWs• . . <br /> . . • _ . . . . . . . . . - <br /> I/ <br /> \''' . . . . <br /> • <br /> . . . -. • • • 5 ned .-/-* 5 •4q-• • • hiele • ' ' • <br /> - <br /> Sa irvsalran/. m <br /> I certify that the above information is accurate to the best o my knowledge. I AM THE I qOwner I ]Authorized Agent <br /> Name(please print): �7�a✓I ,VL(,t4,5' AitA, _ My telephone number is: Sn3 - 3209'5~1,1C, <br /> Applicant Signature: 74.' i 'W e:.�S Date: `f,5//I <br /> Applicant's Mailing Address: / - 1 h PA", 4/1---_ City: c9 v,2i L2 Zip: 67 240 <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 />