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evered <br />e <br />ctey or e��ec <br />Sewer Application and Permit <br />CHART NO. <br />7a D�.W /�j,� tNi1 �CTaN� <br />, _,� <br />No. 25395 DATE .Dec 3 � / ��� � <br />Service Address yiD.3s�. l� rr S�_ Utility Account No. <br />Billing Address- ��-' � �� <br />Permit Fee_ <br />City, State, Zip Connection Charge(s) <br />Owner (Mortgaaorl— — 1 Cl�ll.Nl I14�' �S���otal Fee_ �I ,� � <br />., . ,. , r- <br />8illing <br />:►'��i '*' <br />Address <br />Ly�,,vrvad'w q'3� <br />�1011B <br />DESCRIPTION: <br />Lot <br />Plat <br />Block <br />Signed /� ;' -- - �.. <br />cwrome. <br />/' - <br />.� <br />i <br />Sewer Distr'ict % <br />Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-0OOd24b55548-HOURS <br />PRIOR TO DIGtiING <br />CALL 269�611 FOR INSPECTION <br />SEE SKETCH ATTqCHED <br />Trunk_ <br />Lateral <br />Abutting Lot Line <br />N,S,E,W, <br />Approved By <br />Ciry Enpinnr <br />Issued 8� ��i �iu /u r'� �-" /i�i �� t <br />Inspection By.��! n� 6 e�140�1 <br />Date lnspected_ �— `—�6 <br />INSPECTION <br />No. 25385 <br />