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SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square = Feet Not Drawn to Scale: Total Acres <br /> SEE . .4 f+q.cke.a. Skeet <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ I Owner or I I Authorized Agent <br /> 37.0 2.$'C- 2-I'r 3 C g,1t's\ <br /> NAME (please print): (J; N ' .. c Cwe*I Suikvs Telephone# BZo 2-an -2—I'T4 CCe..sl'.� <br /> Applicants Signature: W.u:. 4 .$tW.cw ! &at . c. Date: ti Mara. Lo19 <br /> Applicants Mailing Address: 3O8 Am Ktm1 14. 11 Rs SE City: Se far toil Zip: 913S7.— <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) Date: <br /> • <br /> A-330 <br />