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PLE 68 DEPARTMENT OF HEALTH AND SOCIAL SERVICES <br /> Division of Health No. 20581 <br /> FEE P.O.510.00 cox 309 <br /> (I Permit per Tank) Masher.Wiamndn 53101 <br /> Date Issued 5/2/79 <br /> Tank size 75O gal. STATE SEPTIC TANK PERMIT <br /> X coPles: <br /> Private Res. This permit is for purchase of septic tank only and does (Whne)-Proeerly owner <br /> rmt exam installation from state or locale approval jBlue)-Dies Die ofH <br /> pt pp lain^)-Derision w Health <br /> Public and/or Permits. (cenary)-lowns hall <br /> Owner',None Ownei s Address <br /> Fled Fbttson Ffederic, HI 54837 <br /> Location(Legal Description)of Property.Where Tank Will be Installed County <br /> SV SE SOC21 73811 P15V IA FOII.ETYi3 Burnet <br /> Plumber'.Name Iicenu No. Address <br /> Roderick Hopkins WFISV 03059 trebster, VI 54893 <br /> Sigmaturt of Person Obtaining Permit Address if Other Than Owner <br /> Webster, VI 54893 <br /> Address of Issuing Agent(Town,Vital City) County <br /> 6^bster VI 4893 Burnett <br /> Zoning Adainistreatcr i//r <br />