Laserfiche WebLink
MH FILE RECORD INFOAMATIO*HM <br />SW*�S <br />Aclon Cllr Prog/Sub E1 em CcTOAwHo. <br />E.H, (assigned by clerk) <br />P/S.E. Local Com P. Number Dist. <br />P�4In3EE <br />Previous Camp. NUMOEn Effective oala <br />Ll I Ll 12 1 z L�-.z I -A <br />SITE NAME 130 choraclori) <br />Location CodeEeL Ex' <br />Other Program Activity <br />SJTE Address (no,/Dir/Street/Suffix/Suite) Site City/State/Zi <br />16777 tj "6( tle- .95 330 <br />PREVIOUS ODA CA D i8"b Sly 500 <br />`Billing HAMe <br />v ` - <br />Billing Address <br />P 0 ga. <br />No <br />/ <br />Dir/Street/Suffix/Suite) fiiIIfnq' Ci <br />I L4 -/ <br />/60 n--5ESTWE <br />Seats <br />J---Tlsq. Ft. <br />Ir pmts <br />0"EI1 NAME (ao charaCW3) . <br />tate/Zi <br />SITE TELINior:l: Nt1slocit <br />Cq 9 S 3 ,30 <br />NER Addross (No./Dir/Street/Suffix/Suite) Owner City/State/Zip <br />SPECIAL PROGRAM IN ORt1kTION Pio. of Sarvfce souret of Treatmtnt Population <br />Connections supply Type Served <br />LRdC. healthI daterj LLJ <br />ADDITIONAL COMMENTS <br />San. {Sump. AC SC <br />Ear 01 i i I <br />