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.. . . . .,o�.�..n�r..-s�-?r-m'-"_�.-- �—��r--�+-�"'�^"TT.:c .-_' t.,..�.-- �Q�7••.r"r'„"^""-•-��---."' <br /> � <br /> CHART N0. _----- <br /> I <br /> il <br /> � � ��d- �r� <br /> TO PO.;TING .------ , <br /> Sewer Application _,and Permit ' <br /> : , <br /> _� . <br /> _ _ : � _ . <br /> � 29727 DATE ' <br /> Service Address ' 7/ 7 �,_. ��r�'f: �- "�(i'C - unucy a��o���No. --- I <br /> I euu�s ndd�ees 1 l20 ;� a 1���r ' <br /> , <br /> � J�l A� ��r'�l; � Permit Fee $ '� ' � r� <br /> Clty, Stete,Zip —� ,--. ; <br /> (�7 ) <br /> Owner � ��'Y ��` � .�(�� '',--�'=-- Connectlon Charge � <br /> � - <br /> i Cannection by Trunk $ I <br /> Address Lateral S <br /> Total Connection Charge S "� <br /> Phone Utility Development Fee ' <br /> Legal Description: Water s � 7��G ', <br /> Lot / <br /> �// seWb� a �J7/ <`G <br /> Block �' �� 7' Total Development Fee S ( ' ^"%� ��l <br /> Plat • <br /> Unpletted Descripqon: Sewer Bond District <br /> _ Abutling Lot Line <br /> N,S, E,W h• <br /> , <br /> , Type of Permfl �-� '�'I ; � � ) < /,'f r��l�'1� Approved By <br /> iRemarka Issued By � <br /> ! <br /> � Customer SignaWre ; <br /> I IMPORTANT! <br /> I CAL!. 1-800•424-5555 48-HOURS /' <br /> I rniOR TO DIGGING (/n <br /> Inspection By v�'�P��'+q� <br /> CALL 259-8810 FOR INSP�CTION <br /> �, Date Inspected /L ' '' 2 - sy <br /> � SEE SKETCH ATTACHED � <br /> INSPECTION � 9��7 <br />