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Buviromnental ~ualtt~ Division <br />Phone: 588-~I~7 <br /> <br />Senator BuildinF~ #225 <br /> <br />220 High Street NE <br /> <br />Address: 405 - 4=h St. <br /> <br />Tax Lot Number: <br /> <br />The above described property was evaluated on~ / 16 / 79 , , and found to be acceptable: <br /> <br />This approval ts given on the basis that the lo~ or parcel described above ~rlll not be fur- <br />ther partitioned or subdivided and tha~ eon&itiona on subject or adjacent properties have <br />not been altered in any manner wh/eh would prohibi= issuance of a permit under the <br />Subsurface Sewage Disposal Rules. Any such subdivi~ion, parti~ioning or alteration votda <br />this approval. <br /> <br />Special Conditions of Approval; <br /> <br />Approval l£mi~ed to a 3 bedroom dwelling. <br /> <br />---This ia a ,Site evaluation. <br /> <br /> Robert R. Fo~er~R.S. <br />~ermit to ln~tail must be applied for with building permit.--- <br /> <br /> <br />