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<br /> . �� r� • '. A�JKILTEO+lNl4 18TAICT ��
<br /> �T � SNOMOMrSH GOU.N�1f, .A81qNpTpli 1
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<br /> . • APPLICASION R�IVATER� O.�
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<br /> Applicatbn No:. �' � , . � No. ��57.5 ��
<br /> MetdrSl�e-� NumberofUMb qppp���. �1`0/O�C7Q7 C
<br /> I hereby apply tor water seMce and aprea b bu povemed In axordancs.wRh ths resoqitbns, rules and repulatbns ot ths
<br /> MUKILTEO WATER DISTRICT pertaininp to water asn(a, npw ur hereaRsr tn ellsct. The underafpned as owner or ;
<br /> repreaerNative oi the heretn-deacrbed pram(see hereby aprees ae fop�ows: •
<br /> p>'rna n,.oosc ot.ry.iirndon a rr w�l...rv+w.�wNw�l�'rrpl�wm�nt or�a+b�won.nd.srw n,.pop.rry dnabd ra1 e.bom. r
<br /> by mywlf«aaipnr u ownw.(q of IM pnmiw�. �
<br /> ,•: (2)Tlrt d qpw,w�M mNw�Nq dwla��aid a1lNroorrMatlnO�quIPmMR up�uwe 4om IM m�M�lrl�drr tlwir Inthlitlon.b�md b�oenN��
<br /> !r propwOr of IM MUIOLTEO WATER WBTAICT.�ubl�at b d b�pu�tloip O�nln7 b w�Yr MrNo�.
<br /> - j�),TIrtYMtNslWbn..UrMlra�n.rr buNd owrNrrlb�h�ld nd krtrn�. ,
<br /> (4)'lli�t IM MUqLTEO WATER DISTpICT�Ma olAan�nd p�nd.tlN11rN M rlphtdYipM��nd pnn b On u�wn
<br /> daaiWd MrNn la b pwpa�of Mtp�aYon�aoniraWq a AmoNqiq M»wrrla a Iw woh Mhw pupow�u tlr�Na pwy�p��iN .
<br /> Jt 1s aIw iaid�nbod dwhp M W�r M�taiqr d M wtl�r m�Yn m�r b�autd Nrvlo�Ay�uon of�y�p�rc.Y a����u1n�d
<br /> by tla DISTPoCT,�.y se�..e a an.r ioaron ti wnton r,.r m.r n.�e..n we.in.oreTwcr ww„a e.�.qut.a a wmrn wrw ar�q
<br /> 1M propr�w of ruoh Npmran�nb b�ny oorrum�who»nqp�r mry rNr 6�W oR.ar h�f�bb tar�r drmpn la ib hlur�b do�o.
<br /> (5)Tfi�t IM DISTRICT thd h�v��ripht b chrq��Mn�1�nY t�bN R�oMNan.b NmporMyd�aontlrw�Mr rrvb b aaaun�n,ud
<br /> , ,bM�dlf�m�Yrp)rorpkMtlwrrarroarunrd. Th�DIBTRICTdWnotb�Mldl�hbbrd��Eyw�l�raro0w►arw�wtllrp(rom '
<br /> �Mw pMmWnpa�pplmonimWMdbyrrawrwraaaprkonlMPnmi�MqW�dwNhw�r.and 11rf�ot�tp�n4of�DIBTAICT
<br /> mq AM fmWaMd IM pYxnd^0 rd�ppWpN�IW not b�pNed�s�brb br noo�y in aa of d�m�p�u doiaUd. M tlr apply of
<br /> T vwlydW AW ab�MM�mipMdby�um W�odbnt,bwpnainaoNwau»wlrho�Nr.M DISTRICTdiW notb�hNdYW�brMipn
<br /> .ner Wrl wah IYwn a InNm�p�bn bruiy,w�omEM in�b�hNd b aarYW�bMah d an4aeton Ih�p�rt of�DIBTRICTa in�nY w4r
<br /> . , nMw IM oonwrtw,whMur hnnt a owrrr.iom p�rbrmNp M ablpWan of woh Ir�nCs a owr�Ks oontaq. Wtlr dqN be w�d by
<br /> �PP�K�Y on rr pmn�s dNaibW MrNn. A row�ppYutlon YW b�INd dauld wwr M dnk�d for otlNr w d
<br /> , on Irid drabd Iwi�N. P���bwMd�-
<br /> _ � ThN tM DIBTHICT noonrMnd� �tlon of a pnnun ipul�yep nlw, Appb�nt �
<br /> rwoamnw�d�tbn�nd awmp hdl rNponsbqty tar MrWiq w hMnO b ImWI• �O�O~ �0�tbn u b IM
<br /> �proNot It hom hlph pnuun. • • . P���CuMtlnp vYw on�w�Nr�y�N�y, ,
<br /> Th�DIBTIIICT ulrw ah�ok vdw��Ftlw m�W b pnwnf qM�M�enNp b qr Db41aU mNna� Th�DIE'WICT two�p�wW� �,
<br /> In�hWibn of a tl�l a�mlon w�lt b prw�nt�w�ulw pn�w�hulk�up a�w�d bp II»rnMr I�br.Applla�m��dOlorl��
<br /> '� � „F ,Mfoniutlon r b�n emm�i�tlon�nd auwnM 1W n�paMlhtry br'.mWYq x�Mlnp b ImuM�tl�rmM�mlon Yak.
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<br /> ; SE E ADpRESB: ' LOT N0. '-~' , ' � ,:
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<br /> Pu►r ru►�: (( (+0 ��� .�.
<br /> arvisr� ai " �cw.oe�na{; ' �
<br /> OWNERS NI,�IE: ��C
<br /> OWNERS�ADDRE33: . , :
<br /> CIN/BTATFJ2IP: . Y��/ ' .
<br /> The ProrNas aro b be uwd at• / — � .
<br /> INFOFiM11T10N LETTER-(iAVH3ENT:
<br /> _ CHAR6ES; -
<br /> ti ., c>>s�s tn.or4eoe a��„d�u• s � AU6 2 5 �i ' I
<br /> .. . (2)6�nol F�dGti�s aonrretlon dwp� _ • � ' .
<br /> — .r.,,. �_f. ,3�0�., : Mu�uuEo w�r�:.a��r
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<br /> r� ,_�.,. �. �: � roW�nwuntnaivedwNh�ppkaYon s .`, . ,
<br /> ' •1T 1S UNDERSTOOD thet Cib AppAadan��tlau0h WWNd.thd not b�Wndiq upon IM MUKIITC��MIATER W8}AICTuM�ppmvid M Ih�DIS�'AICT.
<br /> I�the unden(OnW.owna(a�)of tlN prop�rty dnalb�d�bon�do hw�by m�M��ppto�lion br inaWhYon d a '_��h :� I
<br /> diartwNr wabr �p�o�st�y���,�x��.
<br /> Dated Mk " d�Y af � JY '7 I ` "� ,
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<br /> APPLICANTS SIGNATURE: P � \��`�
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<br /> � APMicanCc Name(plaue prinq: O /S , � .
<br /> APplfunl'sAdbessandPhoneNumber.— �S`d �ya� l�• /�'�• � /d� ' 1Xl�oVW • ���
<br /> ` . APPROV : �G�S�'49�Z •
<br /> MUKIL A7ER DISTRICT . . -- — ---- — ' —__
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