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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: NtV <br /> Township 0C. 5 Range 0i E Section .3C 5Tax Lot 3 G Total Acres <br /> Subdivision Block Lot <br /> ® Drawn to Scale: .0 Not Drawn to Scale -OR- I square= feet <br /> • <br /> . . . R,S7/�2 . . . . R.3 $/76 . <br /> . . . . . . . . . . . ,2Y, 92 ,q6r O� 6-46r <br /> . . . . . • . . . . . . • <br /> . . . . . . . . . . . . . <br /> �.AI <br /> of . . . . . . . . . . . . . . . <br /> Lcoo <br /> G <br /> fi <br /> ( . <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE 1 1 Owner or Authorized Agent <br /> NAME(please print): Rix,.�j e Telephone# ��'�-373-7/57Applicant's Signature: 'i� \ \\� l ( <br /> 3.:�^ k)\ Date: <br /> Applicant's Mailing Address: 77ff 11, ill <br /> City:6:t6 FiP Zip: 97JB/ Applicant's email one },,-,Swill 17R <br /> S-31-1-2017 <br />