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EXHIBIT"A" <br /> Attn.: Kirk Brooks <br /> City of Everett—Publi:Works <br /> 3200 Cedar St. <br /> Everett, WA 98201 <br /> (425) 257�810 <br /> Subject: 10lOA /1t"�'"�"� � ��•���Address) <br /> onnection to vailabl8 Pubur. aewe� <br /> My property is presently utilizing the following method for sanitary sewage disposal: <br /> � Septic Tank System. <br /> [ } Conneded to the Public Sanitary Sewer System. <br /> To the best of my knowledge, my existing septic tank system: <br /> � Adequatelyfunctions. �WE CLlE4N /t f✓ERy I—Z y��� <br /> [1 Does not adequately function. <br /> I plan to do one of the following: <br /> [] Connect within 60 days. <br /> � Request an extension for up to ten (10) years. <br /> Signed, <br /> 5corr Fc��•ar �• s /- Fia•.�u�G CN� �7s_o2ac <br />