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Compliance Inspection Compliance Inspection UID # 9787
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 - 06/13/2020 8:22 AM 9e63e4daffd1a5fd2744ba3937b39031 e9f7fa07775b1c3d18dca32d49289556
#1 Compliance Inspection Accepted	Sheila Dahl - 06/16/2020 1:33 PM e23650e5b7c5d4aa2a316c7ae52d76fe 6e96488288d9f2cd470d74d632e1051c

Inspection has been approved. All signatures have been obtained.