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CHART NO. <br /> !�Ylfltl <br /> e � SF�r � ���T�� s,�,8� <br /> � <br /> c�, � E� � g � s <br /> o a � <br /> ,� .. <br /> M N M <br /> Sewer Application and Pe , � , <br /> � <br /> NO. ��0�� DATE <br /> $srvice Address �� L�AI��'S � ✓ e' Utility Account No. <br /> Billing Address Permit Fee_�1��� <br /> City,State, Zip Connection Charge(s) <br /> Owner (Mortgagor) Total Fee ,/� <br /> Billing Name <br /> Connection By :�y'�]�/eCi :Su�. � � r�J �- . <br /> Addreu Signed , <br /> `t�r ' / customer <br /> Phone "I �'� - `"�,`1 C)�7 <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Service <br /> Plet _ <br /> Unplatted Description Monthly Sewer Constr. <br /> � Trunk <br /> Typa Permit: , <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E. W n. <br /> Approved By f��.f-���) !� � ll�- l.+L <br /> ' city erpineer <br /> IMPORTANTI <br /> �5s�� BY ���,,,, ;, P / �� r�l� _4, <br /> CALL 1$OOd245555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL259�8811 FOR INSPECTION <br /> Inspection By <br /> Date Inspected 3—yf7 _ <br /> SEE SKETCH ATTACHED N0. Z6Vv9 <br /> INSPECIION <br />