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INSTALLER'S NAME & PHONE NO. A#I?, 4,414) 1
SEPTIC TANK CAPACITY 7S� G9L.
LEACHING FACILITY:(type) /'�/4 (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER A24 BORT f , SA Al 50 A) %%l
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes. No
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TOWN OF BARNSTABLE
LOCATION 380 S�ND1'NECk R�3 SEWAGE if
VILLAGE .4 L3ARAJ�T/�41,4 ASSESSOR'S MAP & LOT 6 S2
INSTALLER'S NAME & PHONE NO. A-4R. AAMPI
' SEPTIC TANK CAPACITY 750 G?L•
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER_g R7 F .SA IJ 50 a 1%%I
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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