HomeMy WebLinkAboutEXSY-3-11-16530.TIF � CATAWBA COUNTY Case # EXSY-3-11-16530
� Subdivision
(�� '2� Public Health Department
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v � PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
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A licant/Owner Jonathan Waterman
Site Address: Leiswe Ln
Pro e Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility : House �_ Mobile Home I #Bedrooms 2
Business n Specify
Other � Specify
Proposed Additions/Accessory Structure: Garage and kitchen/dinnin� room area
Approved � Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO � System Type/Description 2a bed
Robbie Phel�s 3-30-11
AUTHORIZED STATE AGENT APPROVAL DATE
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Waterman.docx