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Drain Layers Permit 93 Northview Drive
TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL jf South Windsor, Connecticut d DRAIN LAYER' S PERMIT NO 56 1-7 2aeo -",60& 19 69 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at /l�dtr/Yt��.� 1 rr• ( L Zf) on the IWOrir# side, between Si."Id,4 t �yar 8c,,2ar at premises owned by whose address is 93 4kA7,My,-&-.J ZheAv a^ and to lr Lay House Drain, Repair House Drain, Lay Main, Other for 9VX161VatAw.6, occupancy or use, with euyar L,*) Family Units, with acres. Type of Sewage to be connected under this permit:_ �AN� SEWAGI INDUSTRIAL WASTES, OR Connection will be made with ee 4GAU1,10` Permit to be issued to &I.A' '7�L —f'�V 440 the holder of Drain Layer's License Note't?. 3s- � � Permit will expire onL.T ,�,,,�e 19 7A •. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and theeverse side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS c Signed Connection Charge Paid $yoo. Licensed Drain Layer Sta,orste.rb (Sig) issued by ,r Tax Collector r Permit Fee: Paid $.J g": A 0 INSPECTION: v4r--o,o nr��rrK .�©, /7,& INITIAL (Sig) FINAL (Sig) APPROVED i /;t E`� (Date) i /� v; (Sig) INSPECTOR 93 vievQ FNr 4ZPA 6y q7' `j SG �8� ', •. s ..do Yam►_... David.:'Hotchborg - 93_-lortWiew_Drive B4A.A=In Hoschberg Estate 51 97- - 63 98 5 _. AZpa.. .. Residential Q 1 % 3 0 u ! ` a 0 i 850.,00 _.1.._ 2200..00 200-.00 1050.00 X r ' 116.66 :.f X z 400�,,'00 .. 400,00