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y <br />L ��14 i . . .. � . . . . — . .. _ _ , . <br />1�� r, ' <br />�i , AFF.'dC:AT10N FOR SIDE SEWEIt INSTALLATION _ <br />� J� • <br />�. ` p q i <br />' 1j �-�L� ,' � � ' �� .U� Sil - <br />� ,-�.4.,..� , . ..� . Name ....�.k..:..�.....L.....k�� ................ ................................................. TYAe of Unil ........................................................................ <br />' . � r�,; � � _.. � <br />. ., . ,'l � , � � .!-GLri� <br />' ,, <br />`; �, �' � . ,N ., < < Address � 17.. :.:..�%:s-��:..:.._ :............. :......... <br />....y., ;, ......................... Kir.d of pipe ..................................................._.................... <br />�". <br />,� ;,!� i Leyal Description ...................................................................................... New Conlsruction ❑ <br />i ; � .. �<. �= '• Plat <br />�.' ,• .............................................................................................................. Division of ProperlY ❑ <br />ii , r � <br />�� , - � Lot .............. ...................................... ......................................................... Joint Easemenl ❑ <br />' .e�. , , <br />� ❑ <br />r Address of Property ..�. �v./r.�.l�.:.s: �:�::!�!�t...%�iS?ns2 ................ _. ReWir <br />................................................................................................................. . . Contractor .......................................License No. ..................... <br />� Below sketch ]ot, location of building and sidc satver course. �� <br />� Indicate North by ar;uw <br />1 Show dimension oi building. ��i..(�(.l.Y �� ,�: �,,t�, <br />I - <br />�, ' �G , <br />�� `� <br />ry s -- -, <br />_•�, ;, -" l <br />�' ' ---_ . !_____ ,�� <br />1 „� <br />1 � <br />— � <br />31213 <br />Approval: Da;e gy <br />OTSD—form 401 Terra<e PriNers 7J0 <br />�� <br />