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EXHIBIT "A" <br /> Utility Services <br /> Attn: Monte Tumer <br /> Utility Services <br /> 31Q1 CedarSt. <br /> Everett, WA 98201 <br /> Subject: //�� ',d. �-��t�/. l/��G//al�.�/�Q.r(Address) <br /> onn ction o v ila le u ic er <br /> My property is presently utilizing the following method for sanitary sewage disposal: <br /> y[¢1 Septic Tank System. <br /> [ ] Connected to the Public Sanitary Sewer System. <br /> To the best of my knowledge, my existing septic tank system: <br /> �'� Adequately functions. <br /> [ ] Does not adequately function. <br /> I plan to do one of the following: <br /> ( ] Connect within 60 days. <br /> \�' Request an e�ension for up to ten (10) years. <br /> � \ <br /> Signed, <br /> � ` <br /> P RTY NER 0 E E��/ <br /> p ��IS� v � � I I I It�CEIVED <br /> � J <br /> SEN 0 3 ?002 AUG 2 9 2002 <br /> UTILITY SERVICES <br /> . • •C�permit Servlces T <br />