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JAN.23.19% 3:10PM CITY OF ASPEN NO.808 P. <br />PITM COUNTY MMTH 1)EPA1ZT=T <br />PEM;ET NUMBER, F=IPT NUMBER <br />4wuex- --ft Ali -t cfrt4: n,)' c11141..216i,� Phone # <br />Z. -' <br />Owner's Mailing Address A BL rb A rb <br />r <br />Contractor G L Phone # <br />Address <br />Systems Contractor's Name V A., Fib e9 , <br />Address r(9 V U9. .0 u <br />Legal ,Description co L f Aj <br />Lot Type of Building by Use NW W A N .i L ,qH.Q P <br />Number of Bedrooms 'Type of Water Supply WOU S T? RAJ 6. <br />Type of Individual Sewage Disposal <br />Type of Soil or Soil Classification dC l 7 I$ <br />Psroximal Location of Bedrock ,& c'9 T" ) r a42A-,f1 Nelb <br />,/^�PW;7 cat n of ground <br />e <br />PLOT PLAN: <br />1> QA k--%j <br />&I <br />JL <br />S, <br />C <br />1 <br />Do- te— &1i/276( <br />I <br />too <br />;06 <br />Percolation Test Date. Minutes per inch <br />lanimum Reed ended Absorption System Size <br />Minimum Rscomnetded Tang Size <br />�� V <br />HouS 6 <br />Permit application valid one year Prom Date. Application to become permit and final only <br />after lover portion is completed Aud signed by the &mitsrian. RETAIN roRM <br />CONSTR'UCITON SITE. <br />Date r`�i+� sanitarian <br />ng of system o ack)' <br />C <br />