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UAL av a a..au• ovaav . (11..1.1.a(11..1.1.a..•i•ava . aa &a,/ .............lu • .v <br /> A . a /JAI a►aIA, AL/ALT .a <br /> aa .•vav <br /> • <br /> ❑ 4 Drawn to Scale: 1 square= 11-C I Feet Not Drawn to Scale: Total Acres —1, G' <br /> /fi g - -7-.q(5- - . - • <br /> �_ _ So4, s� � .344 0.30.2_ . <br /> , <br /> . . . . . . . . i% 1 — ),,e) . . . . . . <br /> ,,, ., <br /> . W <br /> 14 <br /> k. <br /> -q`c` ,e mi.. , <br /> . Tril ,,:i • .a 64 �^�`'. . <br /> .ilk• iir ZiPi;LJ.14cr II. -II. \ 1 13-t5' " 1` <br /> IL y� . ll 4, I . I. . -- t. 4-x,09 . .41 . ,g . . Ni <br /> • <br /> - - A • 1 <br /> ., <br /> . „,,. ,.\__, ,. <br /> , „, s.. .„ , <br /> . . . ., . . <br /> . . . . . . .1,5. . . . .6 .12 %Io% . . . . <br /> • <br /> • <br /> • <br /> • <br /> titi(64q0 rvIA;,fitP-Ji• . -Oki V Wit 111E <br /> • <br /> • <br /> • 5CAL., 1 .4'...:: Its' <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE [ I Owner [ ]Authorized Agent <br /> Name(please print): M a kvCkyi' T� IA My telephone number is: St Zj- (6-79 - �l 4./Z L <br /> Applicant Signature: "`-- _Date: // I(2 I <br /> Applicant's Mailing Address: ---' -15-0--1.-i0). 61 S-3 City: S1 1 f"V1 Zip: '7 3 b I <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 />