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PHONE Z y r <br /> 4. Sanitary Facilities: ° o ° <br /> sth <br /> Baroom <br /> 2. New Building Details No. "'/"" o <br /> ... <br /> No. Bedrooms ...I.. z Ei: <br /> Type of Consruction: - <br /> ".... <br /> Septic Tank Size Gals. <br /> .......... P <br /> Size .. .. .. .ft. x .rac..�f..... ft. .. .. �,.,� � I <br /> Height Stories ....... 4a. Absorption Field Site: \' <br /> ; <br /> Area 7G �— Soil Type .................................... :Q r <br /> ............... <br /> ag. ..... Slope .......................................... <br /> 3. Use (describe exactly, 1 - family Perc. Rate ................................... <br /> home,�garage, motel, etc.) Dry Well <br /> ......... r\Y <br /> .......1.:_.4 ....................... Seepage Trench .......... E <br /> Privy .......... I <br /> Seepage Bed <br />---------------------------------------------- U) <br /> structures, well, sewage systems, roads, etc., should be sketched in Fig. A. Include road f` Q <br />)cation and setback from all bodies of water. If property is located at a highway inter- a <br /> ie setbacks required along them and at the intersection. CLEARLY LABEL EXISTING �; H <br /> tES AND ADDITIONS. I o n <br />-- --- -------- <br /> O _i <br /> Fig. A. 6. Location: <br />....................... sq. ft. <br /> N O <br /> O <br /> 0 <br /> � N <br /> O � j ( , . <br /> � vw 'moo <br /> to <br /> y- J <br /> P ,I 4-1 <br /> (nrvID <br /> � n <br /> Jc !� Q C <br /> -> ja L71 <br /> oas <br /> Cil e /1 _e gr'__-ac-oyd, `cn . . . . 0 <br /> r 9.-i o 70 <br /> "Pao/ fv Easement ecdoc, :C m <br /> Lam. E iU1 A <br /> ... .... ....... :- .. . . . <br /> Date <br /> X 77 <br />........................................................................................................................ <br /> -n m <br />............................................. . ............... ....... - .................................. o <br /> !6 �' <br /> 1 <br /> '.... l! . ................................ o � � o � m <br /> ......c <br /> 00 o0000Cn <br />