Laserfiche WebLink
fv1H l �I ILL hLUUhLl W&UHMNI IVN f gyp.+ta <br />.cuon County Program Computur No. <br />3M 101017. <br />(assigned by clerk) <br />Local Como. No. Sup/Dist. Location code Fun Anaunuor C«lu Fee Ex. <br />((! 1/ [01 1 11 M ❑ <br />Previous Camp. NUMBER <br />SITE NAME 190 characters) <br />Effective Dale <br />Other Program Activity <br />i I <br />SITE Address (no./Bir/Street/Suffix/Suite) Site City/ <br />Sta <br />te/Zip <br />PREVIOUS DBA <br />Billing Blame <br />3illing .Address (No/Dir/Street/Suffix/Suite) Billing-City/State/Zip <br />OWNER NAME (30 characters) . <br />ESI SIZEa�r <br />p Seats <br />QZD Sq' Ft. <br />N Units <br />SITE TELEPHONE NUMOEH <br />I .......I <br />OWNER Address (No./Dir/Street/Suffix/Suite) Owner City/State/Zip <br />SPECIAL PROGRAM INFOWIATION <br />Rec. Health <br />Program Element <br />Water 4 <br />6 <br />Treatment <br />Population J <br />FII, <br />No. of Service <br />Source of <br />Treatment <br />Population J <br />Connecllone <br />supply <br />y�� <br />Type <br />muppl <br />L I I I <br />Fm <br />San. Sup. AC SC <br />❑ 0 ❑ ❑ <br />