HomeMy WebLinkAbout0055 OLD STAGE ROAD - Health 67-1-G C
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KEEPING YOU ORGANIZED
No. 12534
2-153LOR
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FORESTRYY MIN.RECYCLED
INITIATIVE CONTENT10%
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LEACHING FACILITY:(tgpe)` (size)
` NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED
'� VARIANCE GRANTED: 'Yes No
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LOCATION 55 old SEWAGE #
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INSTALLER'S NAME & PHONE NO.
.SEPTIC TANK CAPACITY
LEACHING FACILITYAtype) (size)
NO. OF BEDROOMS PRIVATE WELL O BLIC WATE
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BUILDER OR OWNER
DATE PERMIT ISSUED: /
DATE COZIPLIANCE ISSUED:
ARIANCE GRANTED: Yes No
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