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-1i.a int <br /> r <br /> IY <br /> A <br /> 7 F <br /> —,;I,J P'1-10�Ts ue IM111 i-01; 41111 il <br /> rz C;it;,-z d 7r; <br /> ........... . ........... <br /> L7e# <br /> T <br /> ( 6 �gs-lag- <br /> 1 AL witl iCll,cl,43141V ouc Ac i MIAL-Ari <br /> I I a r ipox ill lant:A- apf <br /> 7 <br /> 1y I ype of POM 'N syi;Tenticomponencit}eveee: (0.htwek All tilat sppivi, <br /> ;9 Non-Pressunized In-Ground D <br /> Holding Tank Other Dispersal Component(explain) <br /> I V.Dispersal/Treatment Area Information: <br /> Design sf) Dispersal A.-ea Required(.,f) Dkpti Area Frop�,,ed(st) systern Flevition <br /> foo -- 600Design Flow(gpd) Soil Application R;xtefgpdsb-j I I t <br /> -7A <br /> I VI.Tank Info CapacityinTotal #of Manufacturer <br /> Gallons Lia ton„ Units i <br /> New Tanks Existing Trinks I z <br /> septic or liounni;rarat m Bad57 t'j <br /> Dosinct Chamber <br /> I'll.Responsibility Statement-1,the undersigned,assume responsibility for installation of the POW TS shown on the attached plans. <br /> Pit er's Name(Pringo, I Pluoibc' Signature MPiXIPRS Number Business Phone Number <br /> fl-IT 7 &At4tle 1 0"5 if <br /> 6 <br /> Plumber's Address(Street,CityrSiate,Zip C C <br /> Z ?Pzve) <br /> N7111.Cotmt�/Dcpartment Use Only <br /> Permit Fee Date 6-sued Issuing Agent%fnarure <br /> Ikkliproved Disapproved 1 5 1 <br /> Oumer Given Reason for Dernui <br /> IX.Conditions of Approval/Reasons for]Disapproval <br /> D ECEOVEnn <br /> )n <br /> 20 <br /> BURNETT COUNTY <br /> ZONING <br />