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5 TOWNS/OF BAR(NSSTABLE
LOCATION a � ] � V-�� J 2A_VSEWAGE #
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VILLAGE kS OJT S l n ASSESSOR'S MAP & LOT 06n�D
INSTALLER'S NAME & PHONE NO. &i /? � V
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (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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