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MA:*H FILE HECOHD INFOHMAHONIOHM <br /> .Ac hon CamIYProcyarn <br /> two tr.;�. . .. <br /> Local Como. No: Sup/Dist. (assigned by clerk). <br /> Localart Colo Fou Anrcrunl/a Cwkk <br /> M01Ela:ALFee Ex. <br /> Previous Comp. NUMOER Effective oate <br /> Other Program Activity <br /> SITE NAME (30 characters) --� <br /> SITE Address (no./Vir/Street/Suffix/Suite) Site City/State/Zi <br /> S7KN C t. <br /> PREVIOUS DBA <br /> -U N K <br /> Billinq name <br /> N <br /> dilling .Address (No/Dir/Street/Suffix/Suite) Billin - Cit /State/Zi <br /> Program Element ESI SIZE SITE TELEPHONE NUmeEH <br /> N Seats N[A <br /> Sq� U.nits <br /> Ft. � <br /> OWNER NAME (30 characters) . <br /> Aj <br /> OWNER Address (No./Dir/Street/Suffix Suite <br /> / ) Owner City/State/Zip <br /> IS I i'" Fr, M ^-x le -r s 7k AJ, <br /> SPECIAL PROGRAM INFORNATION <br /> Rec. Health - --� <br /> Program Element No. of Service Source of <br /> Treatment <br /> Connections Supply IF Population <br /> TVPe Served <br /> WATER 4 8 �� <br /> San. Sup. AC SC <br />