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1730 BAKER AVE 2016-01-01 MF Import
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1730 BAKER AVE 2016-01-01 MF Import
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Last modified
1/23/2017 11:03:35 AM
Creation date
1/23/2017 11:03:19 AM
Metadata
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Template:
Address Document
Street Name
BAKER AVE
Street Number
1730
Imported From Microfiche
Yes
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i _ --- - <br /> � <br /> � 'CHART NO. — <br /> � � � � - - <br /> C .. <br /> yr N <br /> M � � <br /> M <br /> a � � rr.. �'OSTING _c�,_-�z_ <br /> N N <br /> � H � <br /> � � ��wer Application and Permi�` <br /> � � <br /> H <br /> H � :' . .' ; DATE - ----- <br /> ., <br /> � IE � ,. . . _ . . - <br /> � � ;ervice Addre�,s ' ' ' Utility Account No. <br /> N <br /> BillingAddress - � <br /> City, State,Zip _ " "�C� " � ���`��' PermitFee $ __� <br /> ' Owner —:."�`t" !."`'°�t`: ConnectlonCharge <br /> Connection by '`'„"T Trunk $ <br /> Address Lateral S <br /> Total Connection Charge $ <br /> Phone ' � �" Utilily Development Fee <br /> � Water $ _ <br /> � C� Logal Description: <br /> � <br /> � Lot --- -. — Sewer $- <br /> � �� ' B�ock ---- Total Developmont Fee $— <br /> ��� i <br /> I Plat <br /> '�� II Unplatted Descriptlon: Sewer Bond Districl <br /> i <br /> � '��� Abutling Lot Line <br /> � N, S� F.�W — ft. <br /> �.� �, - <br /> �� Type ol Permii `�''�"`�� Apprc ved By — <br /> I <br /> �� Remarks Is uod By--- - - <br /> + 1 � __ <br /> � i ____ CustomerSignaWre ""' � <br /> � <br /> � ' IMPORTANT! <br /> � I <br /> ��� CALL 1-800-424-5555 48-HOURS / �/ j <br /> PRIOR TO DIGGING Y <br /> Inapection By ������ � � <br /> CALL 259-8810 FOR INSPECTION J �,r <br /> � Date Inspected ���� <br /> SEE SKETCH ATTACHED <br /> INSPECTION - � 9 � { <br /> • I <br />
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