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HomeMy WebLinkAboutPermit Septic Tank 1992-08-28,-\y'- D6bb-qz PERMIT # REAUEST FOR: I have READ CAREFULLYI Your Authorlzatlon ts Based On The Foilowl Condltlons APPROVED BY,DATE z-FEES DUE: 9 CALL FOR ,/sPECTIONS E c,BA OFK(sE FORFORM 68 '-40657,INSTRUCTtONS)ermlts are torp onegood LLA theroyear.Iatterexpirepermlts 80 unlessdays areinspections cu116nt. SEPTIC -tf; IE o : Hpr,flrfrar,,,r H:rL.LrKHN, ,.,u.skFll" c0t'r'rrY PHIrtnHHY ffHiltE1lifitAflrr-r,t,r$$*?frrrIHI.F.0fifrHel ]',t..* 1'?03t43303 NH:tJ [tl...DI TY[iH: tildNtrft NHE t'lI L.fifrilI ril]l]l- Nl] E[:' Bri rJF rJ F. fiF' Ft_ MHCH SUR pct( Lft {]r.tT{i : F'|.-N ,1ti('t.J : AHEN BY ftI...I..I {,tr I X./Br\TH l-.{:: 3f}6C}?il SDS'V $,t^ili: [rT. LIl'Fi : MHH{AHl:f_:AL. rH:h" :i 1' ATH: *r't.t[tf_:l.lAft $H. t::.t...AN fjt_lHIK r'[:t_ LSS ?, FT, I{AIN : ?.:>z / SI MTE IIHPU'SIT ** :li}o *tLJB$ I V l"-uT rJ[-K u.sH rr rrllRHS s uNI.rs s01 s''rfiRIL.s *trl*0f,,s o0t l''H0NH 485 'J:.1?3 t..IKf;:N, ..J{lSEt}}'l AnfJR {3'7 *H:}'lTht'iNIAt- [-F", '$t]EINEf:IE:1.0, t]HIi: A{]'fIilN fE,S'fiftIF'tItlN "lE tT' LTNIT'CU,SI'VAL.LIAT']:fit'l FEH D. rS F1' I Sfr,S E:I...H l}(]K 1 EST. i.:fiMT..L.HTIflN I}A'TH ?5 " 0r1 r)-ut t-. Ii r'- Fl I 11z- Tkf'n n?-n.L -sr2-€trT &,I ------._----> b t-). trtz $ ( N ili* so ztda+ YAdrd d{ryzq3.6uilbmnv '/ eot ( n1 Please complete all llnes inslde whlte boxes, il posstble.Exlstlng Bulldlngs or lmprovements on Proplrty 6tlou""E Bam EI Garage E lrlobile. Horne E= Shed SEPTIC INSTALLED bo 8-Z-1)-'mr- 4*-LzztTN6T_Z Cf\-nZ+l A4- G H-t ? ztP E YesEtlo Water7IJt- 2223 nol Ema B tffi .IIc.=-T- lromDlrectlons to slte nearest maln lntersectlon cg=t$apt+r_- MAP, PARCEL NUMBER (Found on tar mrpa ln lha Arfa3amanl & Turtlon D.pL)/-? 07 27 37 4tVZoo Towmhip F.ne. !,.cllon l/a ll.ction Tu Lot ffi EiF ffi rEiii-"'-fii;- Townrhip F.ng. !!.clion t/a EGtion Tu Lol FLOOD PLAIN ADDRESS For Moblle Home Placement Only No. ol Bedrms License #- Brand Year Size PERM'T 7O.. .. P Dlstance lrom Moblle Home to: Water Sarer/Seplic TBS Verilied E Allowed Use El STAFF EVALUATION lnlormation Req Land Management Div. staff can not be held responsible lor evaluation3 or recommendataons based on lalse, inaccurete or t4s- 21s2 incomplote i r{r 4-68 02/92 :* TEd[_ BctN Noe*t - L [:i I --/ t I