ETApplication # /� 7V -
Harnett County Central Permitting
PO Box 65 Liiiington, NC 27546
910 -893 -7525 Fax 910- 893 -2793
www.harnott.org/pormfts
Application for Existing Septic Tank In a Mobile Home Park
Applicant Name: d &y/�, of U Date �O ` j o? -,rte
Address: le J,? (O �� G�-�� �, (r G 2-,?5- 2"6
Telephone: W%