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<br />Y�� ? j') � Acr• P�rcrt Mep
<br />' , � +" , t � i �r . or
<br />� �'''„�+ �',�,�, (A) ODurt P►u[ for RecorJ
<br />'� «.. �,` ..•
<br />i " i � (Rrlos to S�pt��nber 12, 1972)
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<br />; Applicotl� Pturedure:
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<br />IZLC�1�'L� ;
<br />JUl_ 1 I 1979 '
<br />--S-��S-77 �.
<br />' 1• Appfovn� !� �r��itaJ unly upon thc rxpr.r:r ccnditlan tdr�=�R�i7��� I
<br />i� ,y '(ntend Gn y�olpKe •ny provt�lon uf 7'ltic RCu 58,17, �he SnnFTii'�ii�iiiSl"
<br />� 1, ��' i`.�l.ViCipn R}�nlu/!up apd 2aning Code.
<br />"�4v'. �,. , � ' ;
<br />;� ,,!►ennin{; lkper[ment epproval does not. ccr U fy inAfvlduel lote wlthin a
<br />( S��cre •eg[eQatlun en auLCeblr for butlding sltes.
<br />�'' 1� 7. {i��lth Department receipt does not 1nJicite eultablllt� ul :he�e lou Cor
<br />'• R1�ptic tanke, Soil anelyate dete musc 6� eubwltted prior r.� �uch dettrataetian,
<br />�.., A. Wt[�c to �pecitic in�t�uc[tan� on •tt�chcd ln�tructLone eh�et fpr •ubottt�l
<br />' ' e��uir.A.nc�. fpR. 2) - , ' '
<br />NANF �•�G� Tk//f _ W1'F._ %�' `-%%
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<br />�t�illltl:SS^- 70+i�- l,�l ��lf�'� �.fi �rYAN�/1aMFI�WGNR• ��F..f�+f �'
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<br />Y.t1NINC SEC /O '[WP Zg RCE_� � .
<br />rilN, Lt1�1' S[7.P. 5�9Q. SOURCE oF I�A1'fH r�tiPreiT C,7"Sr tel�f-;-F1� ,
<br />I, tl��� uwner of the t�crin da�cribed property, do not noa am nor hav� I 1a the
<br />p��■t lud intrre�t ip �ey pro�arty conti�uou� to eh� h�raia d�rcrib�d wbdlvl�lpA�
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<br />� �7y�? � �_ �9P.p/L /�7G
<br />�l�qatutt �—� DaC� piop�rty acqu reT 6
<br />(Uee the �R+c• belov to �ho/r h� `�neral location of ��Ld prop�rty)
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<br />No, oC I,ot� S Zon1nQ � l� Sec_ �V Ibp 2� Rge_�
<br />�iiealth pep�rtmanC R�'�s�4�ed�by D�te,�y( f� //
<br />,�PlannLng W partmenC R�c�ivad by 1�� Date_��
<br />Engin�� �vlew�d bY /��� �'y` Date %-�8'7%
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<br />' k* the Snohomi�h �oun!y Pl�nniny Dep�rtmen[ dou noC h�v� the �uthority to �pprov
<br />5- Acre Tr�ct Subdlvl�ton� •ne wlll only �{�n �• r u�iv�d for t�eord purpo���
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