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FORESTRY
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TOWN OF BARNSTABLE
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LOCATION P C, • Y�. SEWAGE # p P 4 J
VILLAGE . J Y1 *AL ASSESSOR'S MAP & LOT
INSTALLER'S NAME PHONE NO.ci flkkyr., k-5�tlkda 4,117-03 49,
SEPTIC TANK CAPACITY O ������•
LEACHING FACILITY:(type) L ® (size) I QQQ
f NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER `v�\ Qw� 6a e_k S
DATE PERMIT ISSUED: 93
DATE COMPLIANCE ISSUED: V
VARIANCE GRANTED: Yes No
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