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<br />3
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<br />III IIIIIIIIIIIIIIII
<br />~~1ine: I~ec.~n,~5 ~~~.."_ °ermit 'JC .: ~_ 41-Q>~
<br />Date: ~/~~/N~- Inspector :,t<arr..,~4.1~i~..i~<.-.,,rN,..,.~_
<br />bond I sn pection Topic: ~,~.r~~~'~--~<•, Rule: ti t< ~
<br />* Inspected Area
<br />Legal Description (Accurate to 1/4 1/4 Section): E%a 5E'~~ scc~,~,~. .x3; k''%i s~•''~y
<br />Sec-~:.,~ .~ `~ C ~.~ N 1: '~'~ S ec~; .ti, a (G W %a N W %</ sfc-'..' ~•, ~~ `. "T (o rlJ ~ `3 ~- w'
<br />Acreage: I(o'~
<br />Narrative Location Description
<br />S
<br />~,_ ?~~~
<br />*' Date Final Grading Completed:
<br />** Date Topsoiling Completed:
<br />** Date Initial Seeding Completed: t913`~
<br />** Date Final Seeding Completed: t`IY S
<br />Map Reference: FJ~yw._(t ~?u s-~ Mc~ T.,ooa(aryl+.~
<br />Inspection Procedure 7 JO ~"~ ~^d^~~"~ `^"rs '~°Cn''< <~P"i `~"~ ~r`uylv..~ -i•~ 1,:.~~-
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<br />Data Summary
<br />(Reference any tables, diagrams or maps attached)
<br />Jt ~Fc. ~1~•,..,..~ I
<br />Narrative Evaluation of Compliance Pt ~--~ o1n,Sr.~- ~ v~~~^-~-- ~r~`°~ ~`-'"'`'~
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<br />~.~ WV~ re} r~~OCJWIa~•'V Y1kd -
<br />* A separate tracking sheet should be filled out for each area and compliance topic
<br />evaluated.
<br />If applicable
<br />C1~/D4/89) 7331E
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