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SEPTIC SYSTEM INFORMATION <br /> STREET ADDRESS ��� �fl���' ��U� <br /> LOT� BLOCK / SUBDIVISION .g/�'f.s'�j)� �/�u� <br /> MONTH AND YEAR TESTING DONE �Lt C�u�� ��S / <br /> TTEMS ALREADY COMPLETED <br /> � �Ka�e i�c�s � P�.c 7�s� <br /> , ���� �� �-e��..�,1� �� `-�,��r� �c� <br /> NEED TO COMPLETE BEFORE ISSUING BUILDING PERMTT: <br /> OBORINGS <br /> . � <br /> PERC TESTS <br /> v <br /> OSYSTEM DESIGN <br /> SITE PLAN <br /> O OTHER <br /> C�MMENTS ��--� P,� �-�vrr�o� �f f(�,—g� <br /> /UDT� : ��-� /l.)C� U�1�7`� �''UT��1177� <br /> p,e�-��u���z� s��S ���d�� Loc�� o us� <br /> � �rr- -rrKS S (7� ��1D�c-r�'�� - <br /> DATE THIS SHEET FILED /(1 "�S`�� BY <br /> SUBDIVISION FILE NO. �7� <br />