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� , y . ,+�' ' { ,.�.,.. ,.. '. Sr:n4�?�r,'i�. .n.�,1 .. p. ,» , , . .. . � . _ .I <br /> ;` CHART NO. � <br /> a <br /> � I <br /> � TO POSTIN� . 3-Z_ 5.-�-- <br /> � I� � � � � � � g � �; � � <br /> .� «� ... M N C� .- i. � 1 � <br /> O a: y.. � .n � . <br /> �'' r • <br /> Sewer Appli�a�i!�on f�aH�c� .. , �t- <br /> OJ WJ (i C UI � up 1— H .' 3W I` `Wy� I <br /> O p� p- � wiil � y�' C e 3 � Cn � C: <br /> _. 29435 � DATE l0/1/�3 I <br /> -- - •., <br /> Service Address 55 0'P�l�t Ave SH UUliry Account No. . I <br /> Billing Address 14410 Bel-Rad Rd 8200 _ i <br /> 70.00 I <br /> City, State,Zip Ae�la�.� v� 9snm Permit Fee $ <br /> Owner Connectfon Charge ' � <br /> Connection by ���— Trunk $ j <br /> Address Lateral $ I <br /> Total Connection Charge $ �a ' <br /> i <br /> I <br /> Phone _ Utility Development Fee ' <br /> Legal Descdptfon: Water $ _ 224 00 _ <br /> Lot bZ Sewer $ � <br /> 224.00 i <br /> Blodc Total Development Fee S I <br /> PIHt Han�brook div 2 I <br /> ULID 91 <br /> Unplatted Dascription: Sewer Bond District <br /> Abutting Lot Line <br /> N,S,E,W n I <br /> Type of Permit Naw connaction Appraved By <br /> gb IRemarks Issued By , <br /> CustomerSignature �h� �'� � <br /> IMPORTANTI - <br /> CALL 1-800-424-5555 48-HOURS j <br /> PRIOR TO DIGGING / <br /> Inspection By ��b ��� <br /> CALL 259-8810 FOR INSPECTION �� �z ,y� <br /> Date Inspected <br /> SEE SKETCH ATTACHED : 2 9 4 3 '> <br /> INSPECTION <br />