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Sefrdrand Die®ow County <br /> 7 <br /> 201W.W Ave.,PA.BU71a /3tW' e7/ <br /> IDevertment <br /> n Ned 53707-712 S� ama c(mkoWiebyCe.) <br /> of Commerce ( 'S' `��18 3 <br /> ""�7 Permit . . n Soft tela 9 <br /> S7 <br /> InsecsedwidtCeemottl.2l.WaA&MCed;pme�i TeP�be 13�P <br /> wry be MW f«ssovadwI P«POSK MOW Vs4sli MO ', ft*c1Ad*M(Y da rales eddy <br /> L Appirafirle bn=dsw-nc=wF iwdAALiers 9V, <br /> Properly OwadsNeaw (``.. Prcdd Lot# Block <br /> poopoos Ad3MU,/ / P/aPaalaweaw bV L + <br /> L 1/ '.Ar S Si Y' �, APd Jrl2. S: il• le _xt_ serer 2.5, <br /> Ow <br /> eY//e i7;'2/ S3"s'3eri6 �� � , 4aee.e) <br /> ILTypstowww(sieeia1111rtappy) Tis _$ R2 <br /> e® <br /> �t«2FmRy Dwrfee-MweberafBeaaaea �1 Sebarif=M_e CSMNM" O <br /> ❑SeweOad-Doe#Ose ❑C14❑wig fawddPd �'S�cvrL !.k?l:' <br /> ULTypeofPeer'k (Cbakoayoweba =Fm A. Cu%*bffmBifappsow <br /> A. ❑[VarSyst® �RePier�S r ❑ Tua Ory 001 bEtifussysw <br /> B. ❑PalsIlRe cool ❑Peau OCbo®eef ❑pa.eTwrretumeor txrPwviaw _ sad Dee tsaed <br /> tidsa Cagolia Phode oa« <br /> IV.Type ofTOW75 (ClackalthadsapW <br /> ❑im nw..ossirca..d J§M.aa>—xi.ofL=W&.R ❑ <xi&.Gfw&�baeR ❑A.mde ❑ ' PasSMdr*cr ❑ <br /> C.eRaedWedood ❑lleeereadLawrd ❑HdisTare Eln&tFnw ❑AaWTaWWUzR [19achcobftSWFOW ❑ <br /> Mea.Peer OtancliftChumbor ODnpLof ❑Oaoa-les I 1106w ). <br /> V. Asea bdbffu Gm <br /> DMIIFloeGQ AeePwpeed(d) Elevation <br /> i' b l c-e /3. i/, <br /> VLTM*lnb CepcWs Tar Phr6« Mmmsmomt7eib Sia Sied F6i w Plage <br /> rile= gree .rir:s peewee ea.w <br /> le <br /> one. <br /> T«b TYs� <br /> 9n)Ir<a ehlieTlsk / <br /> AseviTUlft <br /> Cmwnewew L:C <br /> sr, C. !e <br /> till. 9hdeaeat-Lie awwr Milviisd 101111Eiwa�eke Pie <br /> TAPAIRS ISosNa� <br /> PMOWSAddan0buLC*f.SmftZipCoft <br /> V1a um0whr 147 <br /> Aweevad I❑Dsp'sead airf Noi Dow,�d ) <br /> ❑oa (i ww Rsem Ra Del i' 3GC7 )N�AacK b <br /> DL.c..iii...ofAppswvmLU ...fir.i..pssal <br /> Aves3es�ivePle«�aieCa�yegd AefeewesePwrtedietllw:ItiAwiaie <br /> SBD-6398 (R.01103) <br />