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� ��+ � <br /> 07tlx <br /> [" y�yG y — <br /> Hx N . — .. -----� - . ----- -. - .- — - . . . <br /> fC C] <br /> � � � CHART NO. <br /> � � <br /> y�x � ,� <br /> 0 <br /> HC <br /> OH <br /> O <br /> H�" � F = -� >, � - _ -. TO POSTING. S� <br /> t" H Z .�. � - -' _. . " . . � . <br /> C~A y I , • � �. <br /> g�y � Sewer Application and Rermit <br /> � � � 28982 DATE 1�/''/y'- ; <br /> � 5702 Parkviav Ln <br /> 5ervice Address Utility Account No. ' <br /> 14b10 Bel-aed xd 4200 ' <br /> Billing Address 70.00 <br /> i, City, State,Zip �llewe NA 58007 Permit Fee 5 <br /> IOwner Coloay Craft inc Connection Charge <br /> I �j�' ('� Trunk $ <br /> Connection by <br /> I Address Lateral $ p,00 <br /> Total Conneclion Charge $ <br /> � �� <br /> I Utility Development Fee . Ii <br /> Phone Z�4.00 <br /> ��� "� � �� �' Water $ �� <br /> Legai Description: <br /> Sewer $ <br /> ' ' Lot _ d <br /> ��� Total Development Fee $ 22a-00 <br /> Block <br /> � ' Plat �BPabrook �iv 2 I <br /> ' ' ULID <br /> � Unplatted Description: Sewer Bond District <br /> �1 Abutting Lot Line <br /> � N,S, E,W �� <br /> � Nex connection qpproved By <br /> � � �YPe ot Permit �g j <br /> ��� temarks _ Issued 8y � <br /> '-' Customer Signature _ <br /> i� �-'_i.� " . <br /> I�� IMPORTANTI <br /> CALL 1-600-424-5555 48-HOURS <br /> PRIOR TO DIGGING /' � <br /> Inspecqon By �'���/""i� <br /> CALL 259-8810 FOR INSPECTION Date Inspected � � ' s3 <br /> SEE SKETCH ATTACHED 2 f3 9�2 <br /> INSPECTION <br />