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~ bXI, rING , I WAC, I SYSTEMS %:- ~.~,:~..' <br /> <br />APPLICATIONS FOR USE OF EXISTING SIBqAGE DISPOSAl, SYSTENS CANNOT BE PROCESSED WITHOUT <br />~IE FOLLOI.IING INFORMATION; <br /> <br />3. <br /> <br />4. <br /> <br />5, <br /> <br />6. <br /> <br />I.}hat is being done? (vacant property ~.zith home being moved ~n; existing home <br />being ~:cplaccd; house to replace mob:fie home, etc.) <br /> <br /> ~-~ ~ ~ ~ , ~, <br /> <br />Size of existing ocptic ~ank <br /> <br />Approx:[mate,lcngtb of drainfield ].ineo <br /> <br />Number of bedroomo in omo .~ <br /> ~ C/~.s:~. ~3> - . ,, <br />Number of bedrooms in~)homc ~ <br />%f oyste,~, is no~ prcocntly being used, date of last use /~ge ,~ ~ <br /> <br />ElI-45 3/77 bB~rion County Health Department <br /> <br />zo <br /> <br /> <br />