361 Permit 2005 ;et /3 FEEVI 0 C/,6
No CONKONW AITIT Oc >IASSACITUSP.TTS �,QG.GtlfilSe
Board ofHealt/t, `1�' � 12Obb- 3
DISPOSAL SYSTP I CONSTRUCTION PERMIT
Per mission is hereby granted to, Construct( Repair( ) Upgrade( ) : Bandon( ) an indiddual sewage disposalsystem
/ /�,, ��,L as described in the application or
at — c Viiif a �' A
Disposal System Construction Permit No.dab[-/3 .dated (4 //5/0
Provided: Construction shall be completed 'ohm three sears of the date oft s permit I local conditions must be met.
F AT 1251 Re..6'96 A 6'.IMn CO BwtOn.MQ DaI( oard of Health
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