|
. t �. _ � _ `.. _..... �1
<br /> 'r;' ' �, .y:�� ,. . � . {
<br /> ' . `
<br /> , •� :� I
<br /> ; � , ,:,: F : ; �, .
<br /> � , , �
<br /> � � BTckw$ter Pfevendon Qeyrce R�bate Program
<br /> < ;�w%'�;, ,' Rbtiate Appl�t��lon Forni.; ,
<br /> r � �'�., �`� ,:,. : ,
<br /> ProDerlY�N'he�Neme C 1, �' ,1��/ �
<br /> , Im �IlaUon:Addresa . �-u . � 1
<br /> ` � -�g�.� �� � i
<br /> , �v ` sm� aiP��.1 � ,
<br /> � Ma�u�a a�arese�na�rere,�p - �
<br /> � ; �.r , � : ,. , i
<br /> , � , ,. �
<br /> - Ciry , i ;:' �� ,: �iq`_ . . �
<br /> e '`, Err�,n �_�. _ � ` ,�j
<br /> � Pfwne �L�. �
<br /> , � � .
<br /> ` ; �� Total COst tn.l�etaltDev�Ifiom' mw/oe S � _ � �- � . � f`
<br /> .{ QOQbMCtO�'� . )
<br /> '�� i.,..� � � 5 . 1 , I ) S �.� � > f� -��, i �y... � � _ I
<br /> ��.,� � � � � . r � ` i ,� t : � -.�i f n ?
<br /> �, PI�N v�r Mwl tpllpr�hiy ; c; ,` � , `
<br /> �� �, • � dl/ �. 5t�v�i rp � �: � � ' f � _ � . (
<br /> � I em tFid awnerpttha'prtlperry,yAbr°q'°padcr'@�e(P�e,jentlon' �drv�ce was�hi'.tal�ed ' � �
<br /> C �µy-.�� �.�� �: . f I dr�N : { ! y � i . i . � Y. . (
<br /> i �[J .�'WW�(Bd WI�1��fl COl1�("4�Of�1�9}�i1V10 ti10�Ofl�f�1119 ..� �I � ..�•. ' ' ' 1
<br /> , �. :' � . unde�nq mat the ����Q^�'loeend, �
<br /> depaluh pegard�ng tl+e focoto'n ot the devlo�Wa�mine . +
<br /> �
<br /> '�: �Myconttac0or�meWch�d'me�'awto�aor�ss inape%i,arM�malri�lnff�ed� . . . � .
<br /> , � . � ., � � . . .. . � . .
<br /> ' I u`�dps�a�i{a�¢I(qm riAeoormi¢la forme�r�ino-g f�e naatwater prevent�on db�,.`�and keep;r,o
<br /> �il in good v�orking ordef;`unlese it�s itis�lled In tlie ury rlghFof.yray � �
<br /> � � : � � , ;
<br /> �.��!��my w.��parN I wUl ina4e patential buynrs swere of ths badc�r 'preye�f{on o�vioe and
<br /> , ' the need Qo imPect andmeln�In r!brtb��i}ar beals i , ' i
<br /> �,, . `
<br /> '`�f , �'ar�eAqoeing qll of the Oeceseary D�penwrk(use Ihe ybllow ReWfb SuDtMCaI Chedc�_•' I
<br /> � � ,. ,
<br /> Jalaet from 1h�follrnNn �� '
<br /> ?' 'i $ I
<br /> i ❑ 71t0 oonq-dcyu%�yfi¢Q`do�msp�y:of other dral0ega Ilinm yreR Nere connected m'my sewer �
<br /> r y'.: : , �.-Iliie(h9M�0e�:(eY hous¢srid t�C In9ta�IEd devlqe):end rAmoved.:W reloUEed M6m. . . . . - , . �
<br /> �� � • t�Tn mv lmv�(od9e mY Pro�ertY has j�o�dawns�?u�or other Ure�rqga oonnec}eA fn m cewer hne. , i
<br /> � (��,�n mv�!w�e Bna titq�nsteit�l devi2e) �'� v f
<br /> tf , ,
<br /> �7 ??lerc are onw�sDout�br otAar dreinage �q oorineded fn m�r sdwer hne(tiMween rt�y house t
<br /> > � and Ihe I�e�lled dndoe),I.und�retarM thet leaving tlresa oonnectk�ne a�eaEas a neh of floodi�g
<br /> � ;r
<br /> � a�d I aocept Ikat qok . ,•, i
<br /> . . • . . . . , . . � �
<br /> ' , , . _ . . � . . ' . . .. .. . . . � ' �
<br /> t
<br /> IVSlpneture ��� ! � � P�� Defa1Q-�lo- �� �
<br /> � �
<br /> 5�qA i
<br /> � ;
<br /> , �
<br /> , ;
<br /> _.- . � �
<br />
|