|
.�:.�<>a ,�
<br /> SNOHOMISN HEAL flf' DISTRICT , �;o.'���;
<br /> ��� Environmentel Nealih Drvivon '
<br /> � !,'.'; . .\ '�.� 9� �-
<br /> �R� °„� Courthouso. Everett, Wash�ngion 98201 �.,, ,: <P� ..;� '�'
<br /> e�FP�� Q ;; 259�9473 ��,� '';f���^�i ,`-`
<br /> �'� PoP o;�+Atp,�� LICATION FOR ON-SITE SEWAGE DISPOSAL P��MIt�•;;� � ��
<br /> ��.
<br /> \A1 'C�• ��Y.
<br /> ��� Nea\\h `�. /Subnrrt J coPiesl ?`'�d�1y7��c«��•.
<br /> �'(95 US?` ���tJf?0-�"'='..US-
<br /> Piop¢rl)' IHa ,\rCounl Nn
<br /> Primn �n I�.. �,sw.J I��_-.'U�MI�-�513.N_1�� t7���`�=---"r_GI��.1 —'--------- ---- . .
<br /> � Of tlltiltlll:�h��0 ;11 I.IICfI :Ill�liC�51 {VS"�_�� / /i--� --- � –'--"_" -- ���—��
<br /> 1
<br /> tic:_��__ IxP�`�_RF,J_ IcF�dUc�itqilinn:�� a ��Qr _ _'J��_-__ ___----_
<br /> � LW : Pl��yi!'J-Y'��-�J'��Z'-----�o�_�HIA._.
<br /> tih��rl I'I:III? ,�rlr Sr{� No.____" —
<br /> �yPc �d BuilJin�� Nrw�/i.I�ticiinF_.__tiinFlc Lm�i{y resiJcnre.,}�_No. hcJionn�c�I)Ihrr uac_ _-C37`'-)o��i�
<br /> \oi:�:r ,.� I`.i•.al. __.��� ..�dC�..
<br /> Nnln iu� ll2 i nc u �wI�L.�iLi��r�y�'-----'. -."--____-_
<br /> G' � AJilt�•��I��1��'''_`L`?9�xnt_t-��_�� Irlc��li�iiii•_�
<br /> , .. ,
<br /> ItuJdrr.�� �vmeq b�m•J
<br /> (� � �,.�,�,��,,, �sZ-4s�5
<br /> naa�.s�_�'s�0 ��-9��''.L---- ' � _ �
<br /> Ilr.it'nci �y;(�'�►iE�`�-€'��--_ ryurril Irrrn
<br /> \il.i.h n Jc:u '. �ha��im.. lo .r:dc � Il.r u��..i�r syslrm inJiru(inF� snil unJ prrc h�dc�. Jr:�iwiclJ hn�s. lUll': ie>r�vc utru.rlcralhnn.
<br /> bndi��.� •�I NAIi't. PI����CtI} IIIIP�. I1011ti�• Ii�::111U0, I�JIII(F. CACllYJU005, Cllcilllft115. �U�III/. :Ii1J Ali\ ��rlb ���ilhm �011 Iccl. tl
<br /> �� nu (�,,�� ��r������ y ('��� � � 7y__��
<br /> \i�il I��E Il��lc \�i. I U"_�_L�' -1JK1'�-S�21-111L�L+�7-G�y aM/O/ __ . . �� •-�I �
<br /> =«15 ' 'y-•-"-��a�fS_��ZB�''����-�� ' 3�����_�'p-P�i{(c97�.�_;_3� )
<br /> ti�nl I nF I: d�� N��. - �-�--
<br /> ��
<br /> _ ___-____ _-- _. .
<br /> � _. _'____. __.
<br /> I Icr.wnn ul \I':i�cr lal�lc Illiclunec lioin {!iuunJ surlarcl'_'_ '__- --___-_
<br /> -- � �y___L6 "--���-1-- - _ _._ _
<br /> 1 ill necJcJ� illcplh .\ ,\uwunll _ --_-______..____. _ .__
<br /> G
<br /> Prirnl:iliun Ic�,l- Il�:ill in uuniinih-hnnnm li' nl Icsl hnlN 11 7� ��a r.
<br /> �� Ilr Ih icsl lakcll� Z ��•:1 �InIC \u 1 � /�_ Ilrl'ill Ic+� IAACII �j
<br /> Ic.l Ilulc \a. I �\�eiaf•c Ralr � . P . . _'/. - " ••
<br /> / �y�,(� 3�L� Icsl Ilnlc \n -1__7 A7� Ur���h :c.� �ulrn � �
<br /> I r.l Il��k Vu. _` A�cr,iFr R:nc(S'_/� Ucplh Irsl lukcn_ T _ . .
<br /> \�.inev Pr�r"lain�n. ltale_�'��� I)alc fuAcn PJ�y����_—.— �, Q� � L-Ol1'aTt-5'�•t�
<br /> �z`(- li I�aPlli /�' , 0�1G .S�,:L r-� �-
<br /> �.piic lanA tivo_����_ Fallon.. S�� ti._���1 �Ir. N'Wih_ _ . . . .. _ - _ . ,� '.
<br /> � �. .
<br /> _ � -:
<br /> � / � ,/� �' p,n�• �frG�C---__ J.__ F.
<br /> '��(_ .lrJw.�,r��"7ircmc Nu _JfJ-�.J ._._.___._. - �
<br /> tiq;nuiun• ul I1r.iRnrr_ _ �yrs-v �� �
<br /> t�
<br /> a �
<br /> �� �
<br /> 90 NOT WRITE BELOW THIS LIME (ta be completed by issuing egency) / ,T3 :
<br /> �.--�c _,. �:v __ C*i
<br /> \1'rll tii•Ilr,ick 1'oml'liancc 1e�___ '_Ivu _P.nnil I1rnmJ_ , Snulannn .___f'__._-_—
<br /> +�'-'"__- r
<br /> . ,
<br /> � "t� � / 'r:
<br /> _ . . - , . __- ___ .—. _ _
<br /> •/� /�icu-,Y �i_��_F �—_� ---_��-���3
<br /> „ �( —
<br /> :
<br /> r,���i���,� �,i;��,•i _Lr� _ - , / . :
<br /> , -�—-_-����� - �J / . //, � iiCi'�e/- =j �
<br /> _._
<br /> �C� L-�C1yt.th.C.�r GI /il� l�TC�/__._ . n a1l _/____
<br /> — ------ - -
<br /> - - ------ --�-- -- ----- � �
<br /> L � /� �� :
<br /> �� L[' C �tiani�:iri�.in__���7�f-(�-__t--�i+'—'c-� ---�-� .a '
<br /> Prinin In I�r iaaucJ�_'__Ilalc___ .- � .
<br /> hi.l:�llri .___ 11rin.perli���i __'___�_-
<br /> _._._ r .
<br /> 1 nllyd loi In.perlion'__'_-__ -.-- "-----'__ _ y;
<br /> �
<br /> - �-�
<br /> __.._ i
<br /> '� / C�%/ ' c�J J ����iii��i It��n� ,� �� -
<br /> i � � I'�.�rnui luud„-i '
<br /> P�inui n.iirJ id.il� i � '4. � ✓ (���T I�
<br />
|