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Compliance Inspection Compliance Inspection UID # 9491
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 - 04/03/2020 12:11 PM acb50d499018f8404de76ebdbc357005 2d8736e9c5abc91da8d80c19c6daec85
#1 Compliance Inspection Accepted	Sheila Dahl - 04/06/2020 8:51 AM b8ea4c5878ecae648e838581bf51ef52 ca6f8fa4d592d4d6bf82ff0337047583

Inspection has been approved. All signatures have been obtained.