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Compliance Inspection Compliance Inspection UID # 9377
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	Brian R. Brogard - 03/24/2020 11:29 AM c6b90e68d72cbce8f6ab3d25d8154b2a 348bc76cbd94c41db5c5eebda3054bb0
#1 Compliance Inspection Accepted	Sheila Dahl - 03/24/2020 1:28 PM ae81dd0916fadd3165b593f4c1931844 1c18bfb4ab4f2cc8c6f018f3dbb11059

Inspection has been approved. All signatures have been obtained.