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Requirements Notes <br />Complete? <br />For Office Use Only <br />Property and property owner identification <br />Date of inspection <br />A management plan, complete and included with <br />application <br />A vertical separation distance report, complete and <br />included with application <br />A certified statement from a certified individual or <br />qualified employee, to include on the Certificate of <br />Compliance indicating the SSTS is in compliance <br />with Gem Lake ordinance requirements.