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\c‘,—C)D r5--1 -i ‘ , ___ <br /> -WilP/7 I <br /> SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSI <br /> C.1 Prawn to Scale: 1 square= /5" Feet Not Drawn to Scale:Total Acres �' APR 0 9 19 <br /> CI <br /> 1°---- RQQ�t`' DINBUILG INSPECTIO <br /> . . L.,_ . <br /> • <br /> • <br /> • <br /> • , :.' <br /> ' • • 5 �e -. <br /> (4.. . . . . . ' • -j"7-11- ille'0,. • • • - •e(g' l ' • , <br /> > . . H � . 4f t. <br /> A <br /> • <br /> F <br /> . . . . c ii ea/ --/-:- 54.ty-• • /lei,. • - - - • • . <br /> . t. . . . . . . . <br /> . .. . 1. . . . . . . . ., . . . . . .... Ii:1 . . . . . . . . . <br /> I certify that the above information is accurate to the besf of niy knowledge. I AM [HE )(f Owner [ ]Authorized Agent <br /> Name(please print): ��0 OLS K S Mytelephone number is: <br /> K P �.‘":03 - —...WCC <br /> Applicant Signature: A , �6� /.l Date: z/5// <br /> Y. h <br /> / d�JJ � <br /> Applicant's Mailing Address: / $7 Pyr /[ 1L City: t Obc.2.-d v &L2 Zip: 9 -7 7 <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 />