HomeMy WebLinkAboutFloor Plan Sketch TOWN OF J yeAtDvr ' -
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Inspection Location 30 LOv'L PO40( ii Map &Parcel -
1. Residential Property if Commercial Property
Bedrooms (incl.den,sewing room, office) Employees
Family Rooms Toilets
Living Rooms I Rooms with B
Bathrooms 3 Square F
Dining Rooms
Kitchens
Other: Z R 655
Total: �..L•-• - .
2. Floor Plan: Show all floors including basement:
#7" •. 11.40/ gil I 13,--(...
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13.12 is144.
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I certify that I have verified the :s' .lan as current and correct:
Signature: Zel ,,, date:
6 s l
3. Is the septic system, as inspected, in full compliance with either Yes No
The 1978 ( ) or 1995 ( ) Title,0:4,•-• .
If not, list deficiencies
4. Is the syst- • m the Zo 1• 'esource Protecti/ - No
Dis•'- ? Lot size:
1