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ORANGE COUNTY Ff ALTH DEPARTMENT <br /> REFEREt'tGE' .. 5H DATE P;N MAP REFERENCE <br /> REQUESTED BY OWNER. <br /> TELEPHONE: - <br /> SPECIFICATIONS. LOT S2rACREAGE: OES.MATEDWETEA Dl <br /> YES <br /> NO <br /> LOCATION I DCRECT.WM <br /> FEE- RECE[PT S.C"IATtiR'c O :DER OR AUT1113 RED AGENT. <br /> CCXSR 2D BY P'tAlw M: ;.'.cR DATE CLERX <br /> ;200 - /v 666 x3� 2v <br /> ?b,�e� 51i - `� �a�i►� -- _ <br /> .s`r corn�Y�T1Y 5�af� ��� cv»�✓S '�i�1 n�i� Q�..L G�I/ � d- �''�`�h�A/�Ir�3 <br /> ate,-. lZ1s <br /> o-max <br /> I0=.1,11, Tl-� <br /> �' bti1G�1Le '��LON �C�A.SS IQ'R1'V'�. <br /> Fin <br /> aT le45 T O ` s►� <br /> PQ,4-1 <br /> 4-7 � <br /> 26,93 <br /> z.'owlo <br /> SEE IMPORTANT NFOFMIATION O;aTHE REVERSE SIDE <br />