Health district clearance form 2011-2026

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  1. Click ‘Get Form’ to open the health district clearance form 2011 in the editor.
  2. Begin by entering the Property Tax Account Number and the Owner's Name in the designated fields. Ensure that all contact information, including phone number and mailing address, is accurate.
  3. Fill in the Site Address and Legal Description, including any relevant lot numbers. This information is crucial for identifying your property.
  4. Indicate whether a septic system or drainfield is installed or proposed. If applicable, provide the approximate year of installation.
  5. Answer questions regarding water supply sources by selecting either 'Individual Water Supply' or 'Public Water System'. Make sure to indicate if applications have been made for these systems.
  6. Describe your building project clearly, specifying its use (e.g., SFR, addition). Indicate existing and proposed plumbing structures as well as total bedroom counts before and after construction.
  7. Attach a plot plan showing property dimensions and locations of existing structures, septic tanks, driveways, and water wells as required.
  8. Finally, sign and date the application at the bottom of the form before submitting it for review.

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2009 4 Satisfied (34 Votes)
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