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<br /> PLUNIi,EFt WELL DRILLER
<br /> ADDRESS
<br /> OBESS,
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<br /> nu=�� � pxows °
<br /> '�DESCR|PT|0N 4� 3anita/yFaci|i�i��� �
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<br /> 1 No.� «»�r�i� 2� NowBui|dinuDmui|� � .......... '
<br /> New,-Bui|dinV _ No� Bodroom, --_�
<br /> Septic ...
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<br /> Sanitary. `~~, Size —.?:I,�.' ft. — ft. .......... �
<br /> FllfiI ng .~—. Height--,.~ Ot^hes ~~.'�.— 4a� Ab�orptiooF�|dSi�e� �
<br /> Mov,Tng ~~~� �«oo .---��h08�.f�.`..' Soi| Typw ....—^--.---- , � �;
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<br /> 'nyy��� � � .... me,gnro�e, moto|,��x� `~^~
<br /> YVo�` �` � �itb Seepage Trench � �
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<br /> ���� ���a'attached.~^^ Privy ...-
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<br /> _____ __________________—____—_________—________________________
<br /> Lo""v"o,o* proposed structures and existing structures,well,sewage systems, roads,^tc, should *osketched mFig. A. Include road
<br /> u,�cx, ,u^,and *pkv"wwm°ou � from mproperty uo� highway �
<br /> ocoon/howmointe,secvxo ^ioxwav, ao^ *ostmcue9uieum000th^monuotwomteoo',ioocLsAoL, LAosLex*nws
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<br /> STRUCTURES AND PROPOSED STRUCTURES AND ADDITIONS. ' o�
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<br /> 5. L Fig. 6. Location: �
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<br /> NOTE: A preliminary site inspection mux he made and site av^'ovo| omvteu on all s,roctu,cs involving sanitary facilities
<br /> before conu,vc\ioocan begin. |othe case nf sewerage disposal systems, acopy o( the percolation test must beattached to
<br /> this apo|iouUoo before upermit will be iuovU. Do riot purchase or install septic tank, duany p|umhiogo, start any build
<br /> iog ooW o permit has been iovcd. A permit may hcm,oked if misrepresentation o( any ofthe information conveyed here-
<br /> with i, (vvod toexist. Changes ioplans o. specifications shall not ^emx,* without approval o( the Zoning Administrator.
<br /> SEWER SYSTEM SHALL NOT BE COVERED UNTIL INSPECTED BY THIS OFFICE AND APPROVED.
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