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Compliance Inspection Compliance Inspection UID # 14824
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	Sheila Dahl - 11/10/2020 1:51 PM - witnessed by Sheila Dahl 4d75f6c64fe3d739834ae495c20887f9 899323bdd58eb3a2a3ad5a9c963f1418
#1 Compliance Inspection Accepted	Sheila Dahl - 11/10/2020 1:51 PM 834b60c73a4731e206713993e12db2d9 b98b9bf5b804b386d05ef9f09bfdd6d3

Inspection has been approved. All signatures have been obtained.