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.. - - _ _ _.-� . <br /> — - - ---- --� �-v� c�- <br /> ' � APPLICATION FOR SIDE SEWER INSTALLATION — SEWER DISTFtICT <br /> Nane .......��1.1/FL�/��........!�t=/71,�.1�.................................. TYPe of Unit .....�../.../f��-.f.��,............................... <br /> Address ....���1/.........�L.�lJ_�.C.....r�.................... Kind ot piPe ..1�(..�...�.L-..�.� <br /> ............................. <br /> Legal Lescription ..................................................................................... New Contsruction C� Account No. ...................................... <br /> Plat .���1�.rSJ.lJ,M1rG' ........��j�/��.�::.............. Division oE Property ❑ <br /> Lot ..pC�.,(p..................��+.,�....�.................................................. Ioint Easement ❑ Ilssessment No. ................................ <br /> Address of Property .................................................................................. Repair ❑ <br /> .......................................................................... .......................................... Contractor !7"..f�f�._...................License No. .........................Date........ ............. P1o. ................. <br /> Below sketch lot, locaiion ot building and side sewer course. Indicate North by arrow � <br /> Show dimension of building. <br /> �—�`.' <br /> L. .r <br /> s�� <br /> � <br /> � <br /> �, <br /> OU�°G G X <br /> 1 <br /> ,�__���« � � <br /> � <br /> � � <br /> , <br /> � . , ; <br /> � <br /> � <br /> � <br /> Rpproval: Date BY 31241 � <br /> OTSD—Form �01 Terrace Printers 3�70 <br />