Septic Permit.PDF - Virdell Real Estate

Report 2 Downloads 34 Views
,43/2q@3 03:39

8308332936

DENNIS MOORE TRK

Pracinct #

BLANCO COt.rN'r.Y I;EIVAGE F'ACILITY INSPECTOR P. O.

PAGE 82

Applicrtion

#

BOX,{7t

JOIINSON CITY,

TX l7

78636

(E30) E6E-2I

ON.SITE S&WAGE FACILITY AFPLICATION I hereby request an application for a permit t0 construct and upon sa(isfactory corrrpletion, a license to operate privalg on-site sewage facility in glairco County.

ff

t

Owners Nunle

t.lo,,re

phorrc 83o/19!7!9,)l_ t,

Mailirrg Address

"91

l"

Address

Jp &u"fu4-fr--ZVl4*- -

wo r.k I' h o nc

itqrtz/:_\Jfp

Othsr Clentact:

Froperty Legal Descrlp(ion: ,Attqch q cqp) qfrurrcnt property tax re+eipt, jtional Conrnrenrs:

A