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!0-28--74 .... ~biZe nome <br /> RECO~D OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM <br /> <br />CLEAN NO 2 BOCK <br /> <br />Distance from <br /> <br /> Lo~ line Front [] 81¢i° {[~r~- l~ear ~] ~,~[,,,,,, fl <br /> Foundation ~) ft <br /> <br /> IYOl~ HEA~'i'I-I D~PT, USE} <br />,~yotem op~arendy wAl ~ will not ~ function sati~facto~ll~ and I~ thorefore approve~ ~ Disapproved ~ <br /> <br /> <br />