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r.._,..., ._,._ ..._ _.,.�. _n ....: ..... ..._ _ <br />' . CHART NO. <br />Td POSTING �-sa3 <br />�� ``-` _,�,-,?; _ - <br />_ c, - <br />'I [- r'�+ p.p O� G o t��� <br />_ � M M � N N ' <br />w � . <br />Sewer Application and Perrraif - " , <br />_�;�; <br />,�c�� � `F�' 3c� _ <br />. - _ :, =i"y� Pi �i- <br />2 J 1 ' i DATE 3-23-93 " . . ,. ._ � I •, ;-' ,-' �:' ', '_ <br />(pD2Cv I,o�ve11 �'d. <br />� Service Address Utiliry Account No. <br />�., BillingAddress 310G 79ch Ave t�E <br />' Ciry,State,Zip Evcrcec aA 9H?OS permitFee $ ���•��� <br />�� Owner �1Lr.rvaod Cur,cor., Homen ConnectionCharge �!] <br />I 'I �� <br />' Connectionby O�+nerM,��p rye���i- Tmnk � 8- <br />' Address Lateral S - <br />Phone 334-2789 <br />, Legal Description: <br />�i Lot <br />Block <br />Plat <br />�. Unplatted Description: <br />� Typeo�Pe�mit AlxcrtitSnn <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Totel Connection Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Developmant Fee $ <br />Sewer Bond Dlstrict <br />Ahutting Lot Llne <br />N, S, E, W n. <br />Approved By <br />Issued By �n� . ' <br />Customer 5lgnature � ` � � ( , �' ^` l. �` � , 'Tf <br />InspectionBy ����'��^^�^ <br />Date Inspected �-30 �q 3 <br />SEE SKETCH ATTACHED <br />INSPECTION �- -= �'� � <br />