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CATAWBA COUNTY Case # EHPR-2-10-3894
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Public Health Department Subdivision
`y Environmental Health Division Section/BUPh/Lot#
PO Box 389, 100A Southwest Blvd, NeA4on NC 28658 PIN# 22791-15-53-1587
1$ 2 su (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Applicant/Owner Bet Fisher
Site Address: 2051 Moss Farm Rd. Hickory, NC
Property Size: 0.93 acres
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Moss ~rM 200'
Type of Facility. House Mobile Home ❑ #Bedrooms 3
Business Specify
Other Specify
Proposed Additions/Accessory Structure: roof over existing front porch
Approved ® Not Approved ❑ Reason
~ Fi511er ~-18-92
Evidence of System Malfunction: YES ❑ NO ® System Tvpc/Desc 'ption IIa or II1gorPttK #`t117
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AL R[ZED STATE AGENT AP ROV .DATE
NOT FOR LOAN APPROVAL