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PL-12-05-1049 SEPTIC
44 ■� DIVISION OF ; . EnViranrnental Health �0� Florida Health MOP Miami -Dade County 0STDSINVell Division 118115 tiIY Z61h SuLo • XIfami. F1.33I75 P e � n s" Date 1nspeetor lk -3,0 Address Curti rrtents: Signature