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Compliance Inspection Compliance Inspection UID # 13389
App. Status: Compliance Inspection Accepted

Terms

Certification

By submitting this form I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of the future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage

Approvals

Approval	Signature
Applicant	Bill Schueller - 08/25/2020 7:27 AM 74ddf8a0da66ca95c7ee1cccf4273a81 b796dfabc291db09c402c95aac0f67e0
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:01 PM 41163d9a923d06731dc776ce82ba33fe 4b5a79a9fa1f640f3b81bf5b2f6a5a2e

Inspection has been approved. All signatures have been obtained.