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LOCATION.I /2, Rm I.I.tvk Ay SEWAGE # {
VIL.tAGE Ll Y�' lA /S ASSESSOR'S MAP Q LO
INSTALLER'S NAME & PHONE NO. r 0Qa
SEPTIC TANK CAPACITY Ing 0 .
LEACHING FACILITY:(type) 4P-k AA r
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NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WAFER, /
BUILDER OR OWNER
-DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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Herbert Ma' Caron
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g Sb:xK Shenendoxa
i Dorchester Zfass-. . 02124
7/16/75 1.-1000 gal tank
4- H-20 Chambers -�
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ROBERT B. ®X CO--8 INC'
P.O.. B
GREAT WESTERN ROAD
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11ORTH 14A
02645
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