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HomeMy WebLinkAboutALYESKA #1 Block 15 Lot 4t J 15 ' SEWAGE DISPOSAL SYSTEM - APPLICATION C PERMIT Name of Applicant Mailing �� i'; / / Mailing Address Ph. Residence Address ?•�/,E %cr�,:n A). Location of Installation Legal Description /17-4- Al. / /Sr r%%/) /%/Y/ S%lit o,11 Application to Install: Septic tank, Seepage pity, Drain field__, Other To Serve the Following Facility 4./'- 1117^x= ��U^•�G Financed Through To be Installed by Percolation Test Results Anticipated Date of Completion BELOW TO BE FILLED OLTP BY HEALTH DEPARTMENT This is to serve as %l)h�W— permit to install a as described below. Size of unit to be served clic tank size72U Type e' -47c, -e- Area .VXA- (,_Type DISTANCES: DIAGRAM OF SYSTEM IN- Fy,— LFr1� a' M^/tn� [FSS T7rFhv r 141 r 17 Lir USC health Authority L 1bC`' i,f• ,.r (cc' I certify that I am familiar With the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code.