475 Country Lane Lot 28Davie County, NC Tax Parcel Report Tuesday, November 22, 2016
161
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. An users of Davie County's GIS website shalt hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
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` 478
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Parcel Number:
CO
4JN
Township:
Mocksville
NCPIN Number:
5739510781
Municipality:
Account Number:
Census Tract:
512
-__.415
Voting Precinct: NORTH MOCKSVILLE COUNTY
CC fr
Planning Jurisdiction:
f
1 f
City:
Zoning Class:
MOCKSVILLE GR
r
445--__,;
itCOUNN
Zip Code:
Z
Voluntary Ag. District:
No
y `
p
Fire Response District:
475
Assessed Acreage:
O
MOCKSVILLE
Deed Date:
6/1979
0
SOUTH DAVIE
Deed Book / Page:
508
l
GnB2
Plat Book:
_
zZ
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
114660.00
_ U- -
450.00
\ ��
25000.00
15a
140110.00
Total Assessed Value:
140110.00
339
343
172
161
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. An users of Davie County's GIS website shalt hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
H414OA0003
Township:
Mocksville
NCPIN Number:
5739510781
Municipality:
Account Number:
Census Tract:
37059-806
Listed Owner 1:
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
Planning Jurisdiction:
MOCKSVILLE
City:
Zoning Class:
MOCKSVILLE GR
State:
Zoning Overlay:
Zip Code:
Voluntary Ag. District:
No
Legal Description:
LOT 28 COUNTRY LANE
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.96 Elementary School Zone:
MOCKSVILLE
Deed Date:
6/1979
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001080226
Soil Types:
GnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
114660.00
Outbuilding 8r Extra
Freatures Value:
450.00
Land Value:
25000.00
Total Market Value:
140110.00
Total Assessed Value:
140110.00
161
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. An users of Davie County's GIS website shalt hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
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AUTHORIZAVON NO .'1 7 3 DAVIE COUNTY HEALTH DEPARTMENT `'
Environmental` Health Section:. PROPERTY INFORMATION
Permittee's " P.O. Box 848
Name: /Q MocKsville, NC 27028 Subdivision NAM
e:we
Phone # 336-751-8760 .l
Directions to property: 0 /i' �CA/�f - Section: Lot:
AUTHORIZATION FOR
//I , �./ _WASTEWATER . ax Office I TOPIN:# -
SYSTEM CONSTRUCTION-
Road Name: Zip:
*.*NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County, Environmental Health Section prior
to issuance of any, Building- Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections, .
Office when applying for Building Permits.
(In compliance with Article I l of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems)
***NOTICE*.**,THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS."
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
r 1 w "Ti&�T;�'
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,% '5 DAVIE COUNTY HEALTH DEPA,
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
C�u� e
NaYttle:' + Subdivision Name: 1
,�%� �
Directions to property' 1 f �i'. i /. �':�f ^ ' Section: Lot:
.I • / f t IMPROVEMENT
//Gry-1, -l"� Ile x/. y� 1PERMIT Tax Office PIN:# - - -
Road Name: Zip:
*NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the ,
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION 1F SITE
',1 {;; l�.?, , r,!?: )%! -c ,� As;' • j�� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER -
ENVIRONMENTAL HEALTH SPECIALIST, DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.,,
RESIDENTIAL SPECIFICATION: BUILDING TYPE & # BEDRQOMS f # BATHS # OCCUPANTS GARBAGE DISPOSAL. Yes or No
w .
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE: Yes oi No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
//. .t /na
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. 'TRENCH WIDTH ROCK DEPTH (�` LINEAR FT.l
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
IM *APPROVED" FLUENT' FILTER *RISER(S) IF b" BELOW FINISHED GRADE*le
DCHD 05/96 (Revised)
Y .�` _ ��r v�r� ��.�*,,.•'!` t�'',"+r'.v ...y,�+4kr` ..- .. ,e r,s.r� ti.p. ..1w�rt �;Y '. ,. ;.-.. .: �.• 5'� .. 1� .ro B .b ���'i
,DAVIE COUNTY HEALTH DEPt�i�R ENT
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s
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
s, Permittee'
NMne:.,, r y %'� 1'+ p r4 Subdivision Name:
Directions to property: 4 a '1 Section: Lot: `
IMPROVEMENT
PERMIT Tax Office PIN:# - -
Road Name: Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION -must be obtained from this Department prior to the, ,.. ,
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
E''xPLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
y RESIDENTIAL SPECIFICATION: BUILDING TYPE & #BEDROOMS #BATHS —A_— #OCCUPANTS A[_ GARBAGE DISPOSAL: �Yes'or No'
i
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:�Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS:—TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH o ROCK DEPTH %% LINEAR FT. /i'
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPROVED\,.F �NT FILiEA *RIEE12(S) IF 61,' BELOW FUJISHED GRRD;E* `
Y
eT
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"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-I$M X X H X X
122
OPERATION PERMIT
YS I
BY:
AUTHORIZATION NO. L OPERATION PERMIT BY: /r '� DATE:
i
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE,TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN A� A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-I$M X X H X X
122
OPERATION PERMIT
YS I
BY:
AUTHORIZATION NO. L OPERATION PERMIT BY: /r '� DATE:
i
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE,TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN A� A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
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AUTHORIZA ION NO: .17 3 +4DAVIE COUNTY HEALTH DEPAR ENT,
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848 /4,4e
Name: It.4,1? Mocksville, NC 27028 Subdivision Name:
J
•• / Phone# 336-751-8760
Directions to property; Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION.
Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County, Environmental Health Section prior
to issuance of any Building Permits: This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
Sir .-. �� ..� � '`.. t - z -ti" - aZik .."'N' 2h _'F :;+tia J,a .. - .^�;-`7' v•t'.. `r.- ;r// �.,... 7.ai ,.. _ .. jam_ �'•"�.,_�' ^ 'p.:i
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,"DAVIE COUNTY HEALTH DEPA"ENT
,.7 IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's'
` Naihe:' Subdivision Name:
Directions to property: Section: Lot:
IMPROVEMENT
14-1' PERMIT Tax Office PIN:# -
Road Name: Zip:
*NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the ,
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) .
' s X4 .e' r� , ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
�'`���PLANS OR THE INTENDEDUSE
JL—SYSTEM CONTRACTOR MUST EE THIS PERMIT BEFORER
ENVIRONMENTAL HEALTH SPE IC ALIST . DATE ISSUED
INSTALLING THE SYSTEM..
RESIDENTIAL SPECIFICATION: BUILDING TYPE _ & # BEDROOMS �7 # BATHS �� #OCCUPANTS !�[_ GARBAGE DISPOSAL. Yes or No
v
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY a DESIGN WASTEWATER FLOW (GPD) NEW SITE - REPAIR SITE _
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH C� LINEAR FT. f
OTHER �JJ �fiC
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPROVED FLUENT FILTER }RISER(S) IF 6" BELOW FINISHED GRADE*
0
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-XXXgg��p
1tXXXXX
la
OPERATION PERMIT
'dfEd
AUTHORIZATION NO. / OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE -THAT -THE -SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN A� A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF ,TIME.
DCHD 05/96 (Revised)
�3
Y �, -.. my � r �f r� i i-`{"�"``." , �0-i'y_::, �. .�A.:Fk,�4 .. - �r y af,r• „t ,l'::;�,� r .i .i , ', i: i .. t_. •.::.--, ..�_ � ' ti '•:i- f � a ''b�. � � �d
" `, ,v'; DAVIE COUNTY HEALTH DEP.Af,�9ENT
a IMPROVEMENT AND'OPERATION PERMITS PROPERTY INFORMATION
Permittee's
Nettle: Subdivision i1► r`ir'r!.� 1 r Subdivision Name:
Directions to property: "' .w. d°% ` : �r'3%% Section: Lot:
IMPROVEMENT
=•/" �„ PERMIT Tax Office PIN:# - -
Road Name: Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained"from this Department prior to the,,
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
r ; .., r s l: < x ,`,, ; . ., .' • �'f PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
s RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS #BATHS -,2,- #OCCUPANTS 't-- GARBAGE DISPOSAL: Yes or No"
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:�Yes or No
LOT SIZE TYPE WATER SUPPLY 4 r �G1 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONSo- TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH y� ROCK DEPTH 'c/ LINEAR FT. s'....,..
ti
/r
OTHER 'Jo ' 1y�1�rC
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPROVED FI
o\& 'A
IT FILTER *RISER(() IF 61,' BELOW FINISHED GRADE*
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-$wx x H x x x
OPERATION PERMIT
YS M I TA ED BY: .� e
b
r.
AUTHORIZATION NO. OPERATION PERMIT BY: /< - - DATE: —z"
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
• ,g
'e
•
r
0/
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-$wx x H x x x
OPERATION PERMIT
YS M I TA ED BY: .� e
b
r.
AUTHORIZATION NO. OPERATION PERMIT BY: /< - - DATE: —z"
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
• ,g
'e
•
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-$wx x H x x x
OPERATION PERMIT
YS M I TA ED BY: .� e
b
r.
AUTHORIZATION NO. OPERATION PERMIT BY: /< - - DATE: —z"
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
• ,g
�._ DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
` (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR (4 hPr�GS DATE 11-11-14o PERMIT
LOCATIONac.
S. R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE [0MOBILE HOME p BUSINESS ❑
NO. BEDROOMS 2 NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑ .
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES. t3 NO ❑
SIZE OF TANK - —?go gal.
NITRIFICATION FIELD sq. ft.'
DEPTH OF STONE IN LINES: Rkt, �2wi
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY 4�_
1187
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
SS 7 CLC Cos. ; .14i .l "X. 1,
rla—k S,.f- l/,o/77
INSTALLED BY
CERTIFICATE OF COMPLETION By Date o7V177
(8/16/73) *Construction must co ly with all other, applicable State and local regulations
LOT AREA
ADDR
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
a
u
.1117 -e,
1:20191'I:V�
25
BDIVISION NAME
LOT #,
=-�3j
DIRECTIONS TO S
c c-- 7"'_o 60L
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER �✓f�s / SLG
TYPE FACILITY r NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLYe SPECIFY PROBLEM OCCURRING_
V f4-
DATE REQUESTED —INFORMATION TAKEN BY /�'V/47
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
PrIf9��� GIly�«tom/�y�� �'ylo