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~A CATAWBA COUNTY Case # EHPR-12-09-2937
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Public Health Department Subdivision
sion /LOt#
_ Environmental Health Division 8
PO Box 389, 100A Southwest Blvd, Newton NC 28658 pIN# 373305093/5454 in1
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1g 42 see (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Sq /d 1-3 1'7
Applicant/Owner Marilyn Buss
Site Address: 4645 Charlotte St Conover
Property Size: 1.12
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
r-1
I~
04
Type of Facility : House F71- Mobile Home X- #Bedrooms _
Business F71- Specify
Other F] Specify
Proposed Additions/Accessory Structure: 10'X8'covered front porch & 12'X20' covered rear porch
Approved Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO Sysem Type/Description gravel
QM 11^~ 12/04/09
AUTHORIZED S ATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
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