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CATAWI3A COUNTY Case # 2082 'L Public Health Department
Subdivision
Section/B I/Ph/Lot#
Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
1,84 2 st.+ (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Coy
Applicant/Owner Linda Love
Site Address: 3630 34` Ave PL NE
Property Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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C, r- 170 b
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Type of Facility : House ® Mobile Home f-1 #Bedrooms 3
Business Specify
Other Specify
Proposed Additions/Accessory Structure: Family/ laundry room with bathroom 16 x 26
Approved ® Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO ® System Type/Description 2a
10-15-09
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
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