Fillable Request for Document Craven County Health Department Division (Craven County Government)

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Request for Document Craven County Health Department Division (Craven County Government)

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Craven County Health Department
Division of Environmental Health
2818 Neuse Blvd, New Bern NC 28562
Phone: 252-636-4936 Fax: 252-636-1474
Email: envhealth@cravencountync.gov
Request for Document
Requestors Name_____________________________Date______________________
Phone Number___________________ Fax Number_______________________
Email Address__________________________________________________________
Septic or Well Documents
Is the structure served by a public sewer system? _______. If you think it might be
served by a sewer system, please contact the sewer department first.
Owner of Property_______________________________________________
Address of Property____________________________________________
Tax Parcel Identification Number of Property________________________________
Y
ear Home Built if applicable_______________________________________________
Lot/Subdivision-Legal description ____________________________________________
Type of information requested _____________________________________________
Food, Lodging or Institutional Establishment Information
Name of Establishment ___________________________________________________
Type of Establishment ____________________________________________________
Type of information requested _____________________________________________
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Request for Document Craven County Health Department Division (Craven County Government)

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Completed 17 July 2020

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