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955 Cliff Rd - Septic Maintenance Response 2024
38 (6 PI A. 0 SOLUTIONS, INC.** Design Installation Operation Maintenance & Inspection of ALL Septic Systems Mobile 612-298-6920 office 507-301-9548 Toll -Free 800-725-5529 - 36180 183rd Ave. www.AdvSepSol.com Montgomery, MN 56069 Date Pumped: Site Address: 1 --------------------- For Office Use I I Date Received: I I I Staff: I --------------------I SEPTIC SYSTEM MAINTENANCE FORM F Owner's Name: -F�ct 14-�)� Owner's Address (if different from site): # of Tanks Pumped: Total Gallons Pumped: Owner's Email: Owner's Phone #: Maintainer's Name: License Number: Private Residence: Commercial: Condition of Baffles: Pumped Through. Comments: I< -- Name L Name of Person Completing Disposal Location: Type of Tanks: Size of Tanks: Effluent Sewage Discharge: Yes: No: 'Imam You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Please submit completed formstothe Building Inspections Divisionvi mail, fax or email. V�v �/lc �,e- u:!� cr 4D vsF�F`o�qq ��C �©