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• � "- . �:n�R�i K.-.:d� .��r,'� .. u:�,�^��'R'�'s'� <br /> I <br /> -- CHART NO. i <br /> � <br /> � TO POSTING �-_ <br /> II � <br /> � � � � � � � a � � � � <br /> c� u� n o �.r o c} � o o. ..; <br /> r � Li a � ..�: '^ „: Cl `� 'tiw �-., � <br /> OJ <br /> - .n n> in .w - <br /> Sewer Application a�dsPerr�,it� � A 0. �, °� <br /> � � � � �yJ. �J � � � �pOG�� ��/. � w <br /> � � � <br /> N � W LL T i p} O �'-� � ;-Z 3 T � ��^-'. LS <br /> : ;:' 29583 DATE c1/24/9a <br /> Service Address 5507 Pukviav Ln Utility Account No. ' . <br /> r • <br /> BilHnp Address L641(LSaL-�id Ya r200 <br /> CRy, State,ZIP i�i'-�-•-�,�- ��r7 Permit Fee a 70.00 <br /> ��� Colons Czafc inc Connection Charge <br /> Connection by d� C►� Trunk S <br /> Address Lateral a <br /> -a <br /> Total Connection Charge S <br /> P��e Utility Developmont Fee • <br /> ���P�n: Water y 179.00 _ <br /> �pt S9. Hanabrook Div 2 Sevyer S <br /> Blodc Total Development Fee a 179.00 <br /> Plet <br /> ULID �! <br /> UnplaHed DescripNon: Sewer Bond District <br /> Abuttinp Lot Line <br /> N,S. E,W ft. <br /> Type of PermR Nw eoanaetion Approved By <br /> Remarks Issued By gb <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-42M5555 48-HOURS <br /> PRIOR TO DIGGING / <br /> Inspectfon By i1a h e IYN A�9 � <br /> CALL 259-8810 FOR INSPECTION 3_� � � <br /> Date Inspected Z <br /> i <br /> � <br /> I <br /> SEE SKETCH ATTACHED i <br /> INSPECTION ;: 2 9 5 r 3 � <br /> i <br />