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<br />[[IJ...~ STATE OF FU ,,,,,,.\ <br />~ DEPART\If-:'.T elf' I I F...\I Ti.j .-\'.D m:HABILlTATIVESERVICES <br /> <br />DISTRICT fIVE?ASCO' OCWNr~ ?~B~rc HEALTH UNIT <br />Environmenta: Health Servlces <br />37918 Meridian Ave., roo~ 101 <br />Dade City, Florida 33525 <br /> <br />Da te: 1/-. 2~ - fs- <br /> <br />TO: <br />FROM: <br /> <br />Chief BUlldinq Official <br /> <br />Environmental Health Division <br /> <br />SUBJECT: <br /> <br />SEPTIC ~A~K EXISTING/SEPTIC TANK FILE SEARCH <br /> <br />This is to confirm that oersonnel of the HRS Pasco Co. Public Health <br />Unit inspected the exis~ing septic tank system or completed ~ file <br />search and found the fo:lowing: <br /> <br />Lot No. I '-I Q <br /> <br />Block No. <br /> <br />6 <br /> <br />..,~)A t:. <br />.. --....: ;::.. <br /> <br />'j)A 121c.. <br /> <br />Subd i v is ion (>7..;?G - 2. (_. Oc..., 0 _ Oo/', vp . O'I{() <br />Owner I Agen t ~(I-~.( r \ ('11 Jr-l/() / t='ar--e.~1 <br />, / <br />Size of Septic System / () :5 (j 9J <br />, <br /> <br />cr 5~ G:;z, t.,/ II <br /> <br />- <br /> <br />Approval No. <br /> <br />Da te of Inspection) /_ ,2Z - ?..J'" <br />.. . <br /> <br />APPROVAL IS FOR THE FOLLOWING: <br /> <br />1. J' <br />2. <br />3. ~ <br />4 . <br />5. <br /> <br />I~ <br />/ <br /> <br />bedroom d\"elling with Ic~oC) square feet <br />square foot addition to the dwelling <br />nool aooroval <br />garage shed aporoval <br /> <br />of bUilding area <br /> <br />COMMENTS <br /> <br />other <br /> <br />IF SYSTEM FAILS IT IS THE Olv~ER I S RESPONSIBILITY TO REPAIR <br />OWNER'S RESPONSIBILITY TO ~lAI~TAIN REQUIRED SETBACKS <br /> <br />~ ._..u.........,.....,...". <br /> <br />~ <br /> <br />I"r" . ~:;:. <br />f t ---j <br />--, - <br />. .....,_4.'_. ......._..........- _ ____.__.. <br />En~iro'~~ental He'al~h D'-vision <br /> <br />(904) 521-4229 <br />nlSTHICT FI\'I':' j()M41 l.Irn.F. RO,",i) , ,'\,E\\' PORT RICHEY, FL 34654'2533 <br /> <br />! \\\ r t I' \ It i ~ "I, I 1(', lie <br />