HomeMy WebLinkAbout1000-125.-1-19.7 (2)"
. .._ ._ _ SUFFOLK CO. HEALTH DEPT. APPROVAL
H. S, No,
MA 33
N.26° 30"YJ,
1-18
SO
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�; r ` / I ,ti i a) () .,✓` p'f STATEMENT OF INTENT
Q, �(„• J >h 1 rq kh'. 'j� 'THE WATER 8f)IfT1.Y AND SW'AOE DISPOSAL
2 rx �! I L, I C ,R• i'r 1 SYSTEMS FOR THIS RESIDENCE WILL '
I i d ((1 ; I T .� � ', ,CONFORM TO THE STANDARDS OF THE �'
SUFFOLK CO.'DEPT. OF HEALTH SERVICES.
APPLICANT
I,' I SUFFOLK COUNTY DEaT. OF HEALTH
f e.
SERVICES - FOR APPROVAL OF
CONSTRUCTION ONLY
,S,4�i 'h k I� J.. i O �J -�' DATE. -
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..`, 1`y E, �.Y .. H. S. REF NO.: MA- 33
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