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10212 DAKOTA WAY 2016-01-01 MF Import
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10212
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10212 DAKOTA WAY 2016-01-01 MF Import
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Last modified
2/12/2017 2:21:12 AM
Creation date
2/12/2017 2:21:11 AM
Metadata
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Template:
Address Document
Street Name
DAKOTA WAY
Street Number
10212
Imported From Microfiche
Yes
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raP rro.,jl�� — <br /> ... �. .........�1,� <br /> 112UI�ILT�O �'��ATER DISTRICT <br /> SNOIlO>I15I1 COUnTI, �i'ASI�llNGCOA' <br /> � $� <br /> APPLICATION rOI� ��V�TER <br /> Nl blanks must hc filled in or crossed out <br /> � 3lukiltco� \V:ishin��ton. ......................................................... 19�f........ <br /> TO THli SUPI:I:I\'1'EA*D�\'T OF 7'HI3 \IUI:ILT�O WATER DISTRICT: <br /> I herci�p :�pply for tlie uxc uf �cater in nrcordance «•ith tLc r�iles und regu- <br /> lntimis af thc \lul:iltco Nater District. <br /> Duriu�: Yhr Citnc th:it :m}• of t6� tra.c• m:iins ma}• Lc taLen up h�' rcison <br /> . nf any improecments authorized b�• t.he !'istrict in m� ot am• strec., rond or <br /> allep in �rhicL they mnp h:n�e Lcen laid, tLe !.lis;rict tcill not Le required to <br /> . furnish �c�iter du:inF tLe pro�ress of such im�n•ovenents tr any consumer ��'Lns:. <br /> suppl}' ma}• thuc 6c cn: off, or bc liaLle fnIr nn}� dnmay�c f/or ils t:�ilure so to do. <br /> J..�./`J-/1"•%✓ ��L��E�� <br /> :��t�1�ICIILIM Na......._........._..............�......�...... . � <br /> Bluck�.............'.'l...._...__......... Lot......� i-_._. :ldl�����.....��....... <br /> –— — T_ <br /> �'o..........................�.�ar.�.Z.....17.R...�CO�......�;�.,...,...StreM ._.._............ ........ <br /> ; �........:......�%��....1�=.�.....��'�:....��,.y................. <br /> -: -. . , f` //.��i� i <br /> ..................... . .....�........� -� - . ........ .. <br /> _ _ .... .......... .. .. .. <br /> .� '�/ �J�'" <br /> � State si� o ap: �....,.. . ,�/nsh. �, <br /> $...../ �..._......ha��n recei�•ed ��•itl�lic�tim�. . <br /> I�.�....... .. <br /> \ /" <br /> ............................................................................................ <br /> SuprriidcnJenf. <br /> Tho premises nre to Le used us u............................................................................... <br /> The owner of the prcntises is.............................................._................................... <br /> ThcaFent is.................................................................................................................... <br /> This :ipplic;LLion, althou�;li si�ncd, shnll not bc biuding upon the Uistrict <br /> �stil nccepted Lp tlie Superintendenl of thc \IuLiltco R'aterDistrict. <br /> Si�ned................................................--........................................0 ro��cr. <br /> Bp........................................................................................�lpcnt. � <br /> :lcnttpted............._...._.........._........_......_.I!la........ Iiy....................................................y.... <br /> Superinlcridcnll <br /> .s <br />
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