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I �.�w���� . . , , <br /> � <br /> � ` _.. CHART NO. <br /> <: <br /> `' TO �OST!NG �-�9-�T <br /> . <br /> � <br /> �- � � � �� oo �-: �; � � � ,; <br /> C�� �+ 3 O O .Y G G� a Y�I G G�. r.j <br /> r�^ o n� Y +-� .^ �� m S o c- r <br /> �Y e< '.. NT M C.l n� , . t) <br /> C� J� M e1 ++� Cl <br /> Sewer Application,ar�d Pe,�rr��� �; r r� ��; M <br /> c5 � � L'�i''� r� �' :� 't�i. % �in. � � � 3 � > <br /> r � 1�2�94 �� mo �1' =: � :_: a � `r'F' = �_ <br /> . ,:' 29� 74 DATE <br /> SGoS <br /> Service Address �� Ist Dr w Utility Axount No. <br /> Billing Address �37 �lm St <br /> Cily,State, Zip fi+�rett �_9/8203 Permit Fee $ 70.00 <br /> S�l�ct H�Y4 � <br /> Owner Connection Charge <br /> Connection by S C � Trunk S <br /> Address Lateral S <br /> Tatal Cannection Cherge � -� <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> �� 34 Hanabrook Div 4 _ Sewer $ <br /> Blodc Total Development fee a 179.00 <br /> Plat <br /> Unpiatted Description: Sewer Bond Distdct �� 01 <br /> Abutting Lot Line <br /> N,S, E,W K• <br /> Type of Permit Nw eoon�ction Approved By <br /> Remarks Issued By gb <br /> Customer Slgnature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING / <br /> Inspection By �'b�' �ii An � <br /> CALL 259-8810 FOR INSPECTION <br /> � � Datelnspected s'iz "`�� <br /> SEE SKETCH ATTACHED <br /> INSPECTION , `: z�5 i •� <br /> � <br /> ___ - —_ ---� <br />