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STREET ADDRESS <br />SEPTIC SYSTEM INFORMATION <br />^'7 d e c -/ ■ L <br />LOT 7 BLOCK /SUBDIVISION //J^aL^ <br />MONTH AND YEAR TESTING DONE <br />ITEMS ALREADY COMPLETED / ^C- >/c*'n ^ VJ o ^.y j r /1 <br />NEED TO COMPLETE BEFORE ISSUING BUILDING PERMIT: <br />BORINGS»'■ <br />PERC TESTS <br />SYSTEM DESIGN <br />o <br />SITE PLAN <br />OTHER <br />^^1^ COMMENTS <br />S.CPT1C iji'Z.u-s/ /ttcOM //ar-u <br />DATE THIS SHEET FILED /0' Z BY <br />SUBDIVISION FILE NO,