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01/11/1994 13:10 17159664206 WAIsWR 91vEYING PAGE ea <br /> 1ltlrsittt County Subdivision Permit Application Feet(mus eccor. , <br /> and/orPro-A Pro-Application Form d1v1''0"w/o s°m4yS;(),00PP faedlvls:un w/suMy:f�OO.:N7•f�s.01::.. <br /> etr.. R,ckvip-d ; Rubra . PrnZ <br /> .ddre..t 39 11&2=4 LK RD F <br /> M <br /> Range �JW <br /> Gj <br /> htitdideamead"O: 032-521`1 OfiDa� swison 19 Townebip q/A/ �/ <br /> Orwel DMOVOM(or atteer twpy): _ '� f L)51!) V110 02,40 <br /> �(W <br /> ' t:.erot T�.t.g R+�3 PloedpYlo 1/tr:) Wetlands I <br /> Claasala tlss: Name ofWater Body; <br /> i <br /> PraMMM 1Mea L«M Daactiptlea aad Parcel Size: _ CS/YZ <br /> 1 <br /> Aorve: �G <br /> (its at 6 h 41 be wrveyed,provide prOmfoary sap. $ee attacMd for pnitetaary map regetrtments.) ' <br /> T�ibole. l--at,Ke 1� � <br /> Prowalrtd�aoer to p.wr road: �� C-� <br /> Date: <br /> >' VON pared saner 20ft Regarrmenta. YY � No J <br /> I)netr�ord^gtrNeaSwvrY7 7"eai� No <br /> i P$MlailapplloatlMAW n&mItttd? O Amount$ 30b- O O ,o« I,p,k O 35S <br /> C I <br /> 0 Raooaatle.wkh Rens Peoyarty Dater Yea NO Date: a <br /> h'a«t�o4iltilrt: _ 1 w <br /> v' <br /> A s A"Wwf" ! Pteuon for Danish � m <br /> Q <br /> Land UM <br /> P <br /> • <br /> _ Date: <br />