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ADDRESS OR LO <br />/7 21 <br />OWNER NAME' <br />APN: .? C3 -,2 1 0 -'/;i APPLICATION 0: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE <br />REMARKS: /�1 Y1 �i iAN77lN�y t�p TFIZ f -t S�.r�K 1 Fl ti' �"1~-�j GtIS .� <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />n 111 Cf] T11 I ► m [P [ � ►� m �� Fn <br />LT T-4 4 i <br />- <br />I <br />i -j -i (FT ](-� <br />l <br />35-,-7 minlin <br />PERCOLATION RATE: 5--� — <br />RECOMMENDED SEPTIC A A: <br />TEST PERFORMED BY. <br />TEST CERTIFIED BY: t } <br />OBSERVED BY (RENS): <br />F r,p 42 0 A REV 112.09 <br />PERCOLATION RATE: <br />077. p minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: D - So? Date <br />Date <br />Phone Z <br />Phone Date ` — _7 _ -- — <br />PERC TEST RATE FORM <br />