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SEPTIC SYSTEM INFORMATION <br />STREET ADDRESS .���2 _4 t C- <br />LOT _ BLOCK / SUBDIVISION /3AyS/0,iF- RFACW <br />MONTH AND YEAR TESTING DONE.'' Z relL 1961 <br />ITEMS ALREADY COMPLETED PEX-c T,Si".5 &0eJAJ G S S 5/ST�7'h 1aFSiGN� <br />Pal 4 L- 5 I P4.4-AJ <br />NEED TO COMPLETE BEFORE ISSUING BUILDING PERMIT: <br />OBORINGS <br />OPERC TESTS <br />OSYSTEM DESIGN NOTE : 7'o/cam i-)A,%s-% DiSftS,+L C l f <br />/N S T'A t_L&-: ) l A u 3 ; AF #ec ..cTi?t-,t, ?2, Nu o/Ajc;. Ti�A_w_ . <br />SITE PLAN <br />O OTHER <br />_ J G PAY wRT rti oaN a roff-' ow Tz or F/Ac#+ 77p NA Lo&r <br />SUBDIVISION FILE NO. 5 b9 <br />DATE THIS SHEET FILED" % -�Z BY �y%� <br />