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TOWN OF BARNSTABLE {
LOCATION �YGf �f SEWAGE # `�
VILLAGE��4,,' V( j th— ASSESSOR'S MAP & LOT O
INSTALLER'S NAME & PHONE NO. ,Saw co 4
SEPTIC TANK CAPACITY 160 L►
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LEACHING FACILITY:(type) ^, (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
'DATE PERMIT ISSUED: b/q
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DATE ,COMPLIANCE ISSUED:
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VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE �. .I
LOCATIOha-4L SEWAGE # �
`VILLAGE � r� ASSESSOR'S MAP & LOT 3
INSTALLER'S NAME & PHONE NO. V j rCe- b co-'L• Cd3'^ - 3cl�-5-0
SEPTIC TANK CAPACITY J,!;'o u awl.
;LEACHING FACILITY:(type) L-co c,�- 1000 (size) �c
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER'. I
BUILDER OR OWNERot
DATE.PERMIT ISSUED: 1 % - ! U - ,�
DATE COMPLIANCE ISSUED: ;. --.ty-'96
VARIANCE GRANTED: Yes No .__��.�
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