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� <br /> r CHART N0. U /7'L4-S <br /> ev •retl. <br /> . � <br /> City of Ereren "! <br /> ISewer Applicotion and Permit <br /> N0. 24983 DATE �� <br /> Service Address��o�4 ��/'=/�' Utility Account No. <br /> Billing Address���_��K�� Permit Fee ��/ '� � <br /> City, State, Zip�L�c-/�-�✓� �� Connection Chargels) <br /> Owner (Mortga r��Q �����-° ���P� Total Fee /D� vD <br /> Billing Nam,_ �'�✓��/G� ����t�� � <br /> Connection By ��'1'� �� � . � , � � ' � / � <br /> Address f /�, . .'�7fn� igned �, ', , t\z. <br /> � • <br /> (�' � Customer <br /> Phone �lL��,!_(��� <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unpletted DescripNon Monthly Sewer Constr. <br /> Type Permit: ���� Trunk <br /> Lateral <br /> flemarks: �. <br /> Abutting Lot Line <br /> N, S, E, W _ ft. <br /> � <br /> ! <br /> � � / <br /> Approved By ,� t--- <br /> / cur oo��•er <br /> ' � �� <br /> Issued By __— <br /> . <br /> Inspection By—___ , <br /> F. i � <br /> Date Inspected � <br /> SEE SKETCH ATTACHED NO. 24983 I <br /> INSPECTION i <br /> L J <br /> L. � <br />