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I . <br /> � <br /> ii . . . . )� � . . <br /> ! - � � '�� CHART NO. <br /> � TO POSTIHG_. �� �� <br /> , <br /> ttC <br /> � ll <br /> � G <br /> O <br /> r� O �7 {� <br /> i - �� rir� � OL r C� � :i <br /> ����i V'l � C.l O O � Cl �, YJ O <br /> I ., •.t M .a �.i " L i ..y <br /> ¢` «i � <br /> ; Sew�r Application a�n `� �► � � <br /> . <br /> � � ermit s � ` <br /> i _ �!�' '} �'� p � G? _, � -T !� 3 C 1.`i_� <br /> �7 J l ' _I 1 ii L <br /> � 29785 uarf ' /0-799� , �.. � 7 � .� ,.; <br /> � � Service Address ����n �'�'7.�71�(1 y i� / ,[11{' <br /> j � p Utiliry Account No. <br /> IBilling Address /�7 ����� l�r <br /> City, State, Zip — <br /> Permit Fee $ _ �� UQ <br /> � Owner �1� ' �j, <br /> � Connectlon Charge <br /> � Connection by �� <br /> I Trunk g <br /> � Address <br /> � Lateral g <br /> � <br /> � Total Connection Charge $ �. <br /> Phone Utility Development Fee <br /> � Legal Description: Water $ � 79, �(� I <br /> `/� �9 3 <br /> �ot _ / �� , <br /> Sewer $ - �7 f, �'�i <br /> ,��1 I <br /> Block Total Deve�opment Fee $ �1�../C./.Q� <br /> j Plat ; <br /> � Unpiatted Descdption: � <br /> � Sewer Bond District � <br /> IAbutting Lot Line <br /> I `-� N,S� E,W ft. <br /> � TypeofPermit �NJ/� � �^/.� �nnj�i�y, ApprovedBy <br /> iRemarks Issued By �R— <br /> I � <br /> i Customer Sfgnature ; <br /> IMPORTANT! � <br /> � CALL 1-800-424-5555 48-HOURS <br /> � PRIOR TO DIGGING j <br /> � <br /> � CALL 259-8810 FOR INSPECTION Inspection ey � <br /> Date Inspected 7 �95� � <br /> � <br /> � SEE SKETCH ATTACHED � <br /> i INSPECTION : z 9]$5 i <br /> -----_ _ -- _ � <br /> - <br /> - - — - � <br />