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CHART NO. <br /> !V!r!M <br /> e <br /> � � � , <br /> Sewer Appl'Kation and Permit <br /> NO. ZS446 DATE �ry �1, 1fK <br /> Service Address i� �� � i i) Utility Account No. <br /> Billing Address *•0• 1os 1�12 Permit Fee 10.00 <br /> City,State, Zip �='�lt. 1A. lt20� Connection Chargels) <br /> Owner (Murtgagor) C�e► 11�1� Total Fee 10.00 <br /> Billing Name ��. �s p��l4p��t !� <br /> Osdl�rw 117—CS <br /> Connaction By � �.�2;:pp <br /> Address ��j� �l9.00 <br /> Signed %' ��� . <br /> � ' ' Cuttomer <br /> �10�18 K��T,� <br /> DESCRIPTION: Sewer District <br /> Lot 1—i Block ��� <br /> Plat �+�,�* � Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> , Abutting Lot Line <br /> - -- - N, S, E, W_ Neet�rd h, <br /> 1wr� !� Irlf. / l� P�-o i^ <br /> � <br /> � Appr�ed B��''�1 <br /> �/J Ciry Enpmear <br /> IMPORTANTI n � s� �� <br /> Y� v �� Issued By <br /> CALL 1-000�424-6655 48-FIOUR / <br /> PRIOR TO DIGGING ��{ ,`/�//�> <br /> CALL 269�8611 FOR INSPECTION O � ���`/ <br /> /��� spectionBy <br /> Date I nspected <br /> SEE SKETCH ATTACHED Np, Z5446 <br /> INSPECTION <br />