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02/19/1999 08:41 4791547 VOLKENIANT PAGE 05 <br /> .4: <br /> „t1 <br /> 'I.. <br /> - - . - <br /> ,•. <br /> 3 • <br /> , • <br /> Date / f " 7 4 . <br /> . . <br /> 1 , <br /> Name Z/4 (L: tel.. ic <br /> address (,,, -&-- 0 (J <br /> s- 31 / <br /> Phone * Elm -i-r? - -1._stev ; LI-2S -2L -o <br /> g... <br /> Property Address l'. - Property ID# <br /> Type of Structure lijoi,- 1 'i ... •C‘sffnJ ee-- <br /> Numb er of Bedrooms i4 la e,t-tai2 -, <br /> Estimated daily flow <br /> 1 <br /> Total water w; in4 <br /> City or Governlng body Z., ,tio <br /> Location of any T-Ii;:roti j . ,.: Hi: iLti ,!. . Etc . <br /> I <br /> Site : <br /> Soil BoreingF, <br /> Pero Test <br /> 1 <br /> Measurements .4 <br /> _ <br /> elevation shots <br /> Slope 1 a e, _5--t. <br /> Map <br /> — Wells <br /> existing sysstem <br /> buildings <br /> Bench mark ' <br /> ( <br /> Future development 25- ocei- <br /> • <br /> f f <br /> p/ x- '/—vg / 'V e 4. e)-Li A-Li 4_ 11 1 e- • <br /> /1,6 <br /> e <br /> L—er--(-f- 0:-.F--(m_ ,5 a+1 .4c./ s etR.r <br /> x 70 a.4e4L. <br /> 1 <br /> tc I e e el-P i „;( -1--7-;:a 4._ ..v O 0 7pcl, • <br /> f 7 X -7'7 af2-,a4, <br /> !,. <br /> ,9t0Atv 417) - —7 3 S-7 <br />