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84S 166 <br /> "...7":;Te -4=..:,Ln' 2.777. • <br /> _— <br /> 7.'ORI; OROER 1 /61--(a) -re:2" ------ -- /7 <br /> TO,!NHIP <br /> TAX :iAP 1. ' --v5- ------------ <br /> ..„....,... : SLOO'n <br /> •-,.......---, LOT q c>9.7). <br /> ....e , <br /> NAN:: OF PROPERTY CnER: 57,/....e ,„-L, ...c..._;27,2‹ CM, .4.- -4JC4-1LA <br /> 1-1 -- <br /> ' - <br /> PERSON REQUESTING TE5T1 Jet(F-- / <br /> If -tifferent rrcm cxner - authcr;--ad by cwnez: YES . NO <br /> AMR:ISE:LP-4P ,. ,2 __9 • , • /..... x......_. , , ....,,,,„,„ <br /> 7 m. ... _ <br /> / - z a <br /> 1 / <br /> — <br /> OIRECTION/PROPcRTY OESCP,TPT7ON: , <br /> -- -- <br /> ,.. <br /> WORM REOUESTED: FEE PAID; <br /> PRELIMINARY LOT EVALUATION <br /> ANALYSIS <br /> . <br /> __-_-_11-1FROVEHENT PERHIT INSPECTION r <br /> CERTIFICATION OF COMPLETION IW-7.P=CTION <br /> ---_—___ <br /> PURPOSE OF REQUEST Ls tm determine suitabi21fy for g:cund abscrpt'cn swace <br /> ocmal syl7fm. <br /> SPECIFICATION OF PROPOSED STRUCTURE: <br /> . . <br /> . •■••.°1. "' -; -4411.1.7; <br /> 5wNER CF UTHORT7D glNT: <br /> ( s signacure inicatss pezmissicn 4.sjz.sefi-L7,?. ,tec :c snta: ;r : ? r : <br /> purr.cses aut:-Imrizsd cy :2-lis 4ork <br /> CZAL:-;TFIrT:rN CF ,--011 FCT rR CIRC17): <br /> r <br /> C S S S 3° <br /> SLOPE 0 TEXTURE (::) STRUCTURE c'. E) DEPTH Cz. RE':TRIrTDF <br /> C-) <br /> U .. U <br /> z c <br /> DRAINAGE OP '''S.71 "7-AelLITY qlp -2&—Isi,". sktAL.Lov.) <br /> ts <br /> ri.,A wur■vs../.T.-7)—e-Fr74-1 21:3--26r, <br /> 0 An. tNi-c-r-1 'i2-'" D 4 R.V-?...:vij". <br /> .5ITE CLASSIFICATIZ 1:.'IRCLE : c7.17 l',-, , <br /> SUITAELF ::N.FUWELE r-RCVia-1:0MALLY 51::7:CLL 7.=Isr=t'cn: <br /> A <br /> '14 <br />