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HomeMy WebLinkAboutDrain Layers Permit 45 Sycamore Road y TOWN OF SOUTH 'WINDSOR rt . - DEPARTMENT OF POLLUTION CONTROL . BIT No.: 4 South Whereas, Caere nicut List No.: 5-60959 DRAIN LAYER'S PERMIT N? 968 i aturbee . 19� 7 Pummn ro written 11THIM ciuq me miaaiao is berebY Formed w de, Licensed Drain Layer tamed hernia to perform Ne work iodiu¢ed helow m dS fly l ( M) m 'M Ortirtheldt, bnwe n at isemrxs owned by whose address is - nM no R Lay Hnuse Hands, _Aepnh House Honda, _Ley Main, _Other for HeeiWmtlel ¢cupocy, or use, with One (1) Family Units, with arms. Type of Semge ru be sconectoi wrier this panda; SANITARY SOWAGB U, ), WDUh'IRL1L WASTES ( ), OR ( ) Connection Will he mule wkb Wafneh (!J:) y':amEfr y(yy Permit to be isaued to panal l the bolder of Drain Layer's License No. va-eaWuA . Permit will expire on ?0 �pmmh nd 19�e my. The.eer¢ynd Dram Layer hereby ngrces m oil the terms and condiums get forth on rM permn enTe re m area thereof. Applicant hsa received Town Permit No. ind/Or CH D Permit No. for saver exclartion. SPECIAL WRINTIONS Correction Charge Paid 10408.9$ Srp,en Licensed Omm Ln Yet Ran. / 867 Ieamd by Nalvfa 81vards, Jra Tax Collector Panic Pee:. Paid i d5Ap BiSPECTION: . . (Aeh Number: _ 7341 1NITUL (Srs) FINAL (Sig) APPROVED (Dace) a INSPECTOk (Sig) fir" v � Yia1 � a .� 4f� Le