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SEPTIC SYSTEM INFORMATION <br /> STREET ADDRESS 5-3 I /V6g7rg S7,e€Akk L <br /> LOT _S_ BLOCK / SUBDIVISION <br /> MONTH AND YEAR TESTING DONE P(Z I L <br /> ITEMS ALREADY COMPLETED Cp ¢'eW_P_ T7ES77Z <br /> S�eL pD,e�n,�S <br /> NEED TO COMPLETE BEFORE ISSUING BUILDING PERMIT: <br /> OBORINGS <br /> OPERC TESTS <br /> SYSTEM DESIGN <br /> SITE PLAN <br /> O OTHER <br /> OCOMMENTS <br /> DATE THIS SHEET FILED �'-l� '� BY <br /> SUBDIVISION FILE NO. <br />