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Get FL DH 4057 2009-2024

Florida Administrative Code Variance Application Number ______________________ Onsite Sewage Office Use Only Follow the instructions on the back of this form for assembling your application for variance. Eight (8) copies of this form and supporting documentation must be submitted with the required fee to your local county health department. Your application must be reviewed by the local county health department and the completed application received by the Bureau of Onsite Sewage Programs in.

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