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INSTRUCTIONS
<br /> 1 A sanitary permit is vaiin ioi two (21 years
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<br /> <J am sw
<br /> au•, •�_ .y.
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<br /> To be rorr)dAe-and aLcnr84 IN san;laq permrt appiicaticn mw inchido
<br /> I Prc,l,erly c:wne is ;,'l:,r in 1 nna-! r y irl'4r es_ i Pie lv;al 0-P cripnnn and parcel tsx number(s? ei
<br /> where the systerh is to be insralic.d.
<br /> II TvpF of hlln,ll m hn,nn (,heCk on+y on. .�rui rpr - .et inly.
<br /> A Bo l+.hW be 4 0"04 C lye r` c check ail appropriate boxes th 't ply
<br /> Type A permu -he-cw line 's 11 pel"l Is t-1 ...r,onn�i.,4o:1, 1
<br /> repair
<br /> T;p • a! system (Wec4, i ppr( , 1 , 1 . system typ=i_
<br /> rpnc,I, sy or, Pon, tve - .r• in fr om,ov j _ e I v „
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<br /> al tis awl e, q3
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<br /> s,ipl c r;t.' ,r.d huh m i lAnk - Plan: ! O _ • _ r ,;1v[;:
<br /> Depart ,.;r. ..sr ; -
<br /> ,�;i 'Depa rt,F-ct ,_si
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<br /> r,4:'.ii•, .1 r..:., ......c,ri +pnnc, 9qr` r •ii....:. ,�.,:. _
<br /> SBD-6398 (B 11/88)
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