HomeMy WebLinkAboutCARROLL LT 5 (2)Carroll
Lot 3�6
#006�322�11
APPLIC�NT FILLS
OUT UPPER HAI� ONLY
Fir,perty ewner
14// / /, 4," Z 4 A t' A� -J
Phone
/ ". v .3 D 3 - I. M/
Mailing Address -�5 �,t r.;l Z ea, 4,14 ,z/ Zip Code
t
Buyer
Date
Address
Zip Code
nspector
Lending Institution L.Met
Inspector
Phone
Inspector
77�--flcD
Address '7 -7 7
4 Zip Code
Really Co. & Agent
Field Notes
?;AeeZ 7.9
Phone
Address
Zip Code
Legal Description 4
Street Location 4�11
A
Type of Residence
Single Family
Multiple Family No. of Bedroom
C Other
I APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
Water Supply
R Individual
ATTACH WELL LOG. A well log Is required for all wells drilled
since June 1975.
G community
For wells drilled prior to that date. give well depth (attach log
It available).
0 Public Utility
Sewer Disposal
0 Individual
Year Individual Installed:
Well To Absorption Area
I
P, Public Utility
When Comected to Public Utility: 7s, -
Ll Holding Tank
Well to Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
el -.7 -
Time
Time
Tim
Time
/ :,i3o
Date
Date
Date
Date
Inspector
nspector
Inspector
Inspector
Field Notes
?;AeeZ 7.9
-2, re el
I APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
DISAPPROVED
CO DITIONAL#PPROVAL-
DA. E 7 /4>V
&.41(rxzt—
BY: Id�
Soils Rating
Date Sewer Installed
Well To Absorption Area
I
Welt Log Received
Septic Tank Size
I
Well to Tank
1`2� 4W
I ;
40
tic
I