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Home My WebLink AboutBLD2008-00877 SEPTIC WAIVER.TIF-��,� abog vafi'`77 Waiver of Existing Wastewater System Inspection For Proposed Accessory Construction I Kwzr: -ts N ObbAm certify that I am the owner or authorized (pdntyom name) agent (owner's signed authorization required) representing the owner of the property described as: (prgmty ad&= m deaonptioa) - By signing this waiver I acknowledge and/or certify the following: • The property.describedabove upon,which the borne addition or accessory structure is proposed is a minimum size of two acres. . All proposed building and property line setbacks currently required by law or local ordinance can be met while maintai a minimum of 25 feet from any component of the wastewater system, designated repair area, or private water supply well. The owner of the property described above is responsible for all potential damage or incidents relating to the proposed construction. Signature 26 2,.�� Date 5 -4 -0$ C Waiver Approved Yes fNo Reason (if not approved) EHS Signature �� L1�C _ Date S ©S�