HomeMy WebLinkAboutEXSY-10-09-1946.TIF
$A CAS AWBA COUNTY Case # EHPR-09-2047
Subdivision
Public Health Department
n/BUPh/Lot#
Environmental Health Division PIN#
v PO Box 389, 100A Southwest Blvd, Newton NC 28658 IN#
1$ 42 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Applicant/Owner Ernie Cline
Site Address: 1858 Tansie Lane Hickory NC 28601
Property Size: 5.07 ac
Directions:
P I EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility : House Mobile Home -Q #Bedrooms
Business I-1 Specify
Other 0 Specify
Proposed Additions/Accessory Structure: 0 ry 5~\
Approved Not Approved ❑ Reason
S ❑ NOSysem Type
Evidence of System Ma ZAUTHjR
/Description - - a- 11~zl. Z ~ ~ JD STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
CADocuments and Settings\jenglish\LocalSettings\Temporary lntemet Files\Content.Outlook\C9H5VVQQ\Cline_exist 09-2047.docx