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U Property boundaries o Welk
cr Names of adjacent streets 0 Septic talk
o Driveways and parking spaces CI Drainfield(enter NA,if urticnow1Health
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o Surface water(ponds4creeks‘etc) 13 North Arrow
a Sulldkgs(residence,sheds,garages,etc)
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1812 Hastings Ave.W.
Port Townsend,WA 98388
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gvatuation of an Existing *Waft Sewage gystern_07/30104_pdt page 2 of 5