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I �_.n � <br /> ever:tri �:��'� ' - <br /> -7 � �7 �7C <br /> - � ���, ZO ..._5 i ��/�// + . <br /> s �� �.� �� <br /> '. `, ` , r-�,`,`',7r,�,✓,� stj. �` �:; <br /> � ,. a�,.�w- <br /> , � ., • n,���. <br /> C� � �`�-`'- E-- �, �,.,�F <br /> S�w�r A��lication e�nd Permit� 1 <br /> � <br /> No. 2 0 81 Q DATE % . <br /> Service Address / Utility Account No. _ _ <br /> Billing Address Connection Permit Fee_ <br /> City, State, Zip ' ' ' �� �' Connection Fee —' <br /> Owner (Mortgagor) /�'i/- % Total Fee <br /> Billing Name �`! r <br /> Connection By__ �'fi;�'-� �-�}'�< <br /> � . . <br /> Address_ � '� ( `/'L /", :/ Signed. - --, .- , . , <br /> r' ,�1 cu:�omer <br /> Phone - f �i' �" i <br /> DESCRIPTION: Sewer District <br /> Lot � ` <br /> Block. Monthly Se�Ner Service <br /> Division or Addition_ _- �f�%�% ' % " Monthly Sewer Constr. <br /> Type Permit: ;: .. - Trunk <br /> Lateral <br /> Remarks: /,'u.zOii/l T�r".v A�� -�✓ .lir i.vs r�. <br /> 1�butting Lot Line <br /> .:i �-i - :.✓� , co�rr�A �• - Oi��'7' t N, S. E. W ft. <br /> � , cod f'.ac S.c �S is t'n 's'r�p <br /> A "Ccs�/� , N /1 S S/P a: ,. /� <br /> 15 ST/GC 6'�:�/N . !/S.�/ 6'� /1Nc'%.s6/' ' . ' <br /> ;.i l �.✓ �" �.c'.,�' APProved By_ <br /> F �/! "!.�T C�ry Engineer <br /> G�CON�'. /i/'E C�.6.��E0 .fS /�l/' Sd'.E�'CN. Issued By - � � . <br /> Inspection By ��` �lf%�� � <br /> a Date Inspected— �� Sr��/.s� <br /> —��_��'� <br /> SEE SKETCH ATTACHED Np• �� i� $1 O <br /> IPdSPFCTION <br /> F <br />