Laserfiche WebLink
$ITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: <br /> Township q S Range, - E Section (') Tax Lot 1,56/3-ooO Total Acres I. 2.7 <br /> Subdivision y I VM.. Par k Block Lot <br /> ❑ Drawn to Scale: •l 'Not Drawn to Scale -OR- l square=_ feet <br /> , eC cl facAteg <br /> I certify that the above information is accurate to the best of my knowledge.IAM THE({(Owner or I I Authorized Agent. <br /> NAME(please print): , ' - Telephone# �Q�-R Sz(-a,35a <br /> Applicant's Signature: 14 AA 2 AAL, 1 _Date: - 1? <br /> Applicant's Mailing Address: r (7 <br /> City: r . L4 Zip: 9%3,5E, Applicant's email: 411),lL /JtY nn <br /> re gyyt <br /> 531-1-2'01711T/ triis <br />