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Sewer Stub information Sheet <br />I. NAME ��%SEPI� W D�YLE ; _,_}��I � <br />2. ADDRESS 1�? J_ZZhd ST. 5•E. � a y�� <br />3. TELEPHONE 337- 2�G�y • ; ��'� <br />�_ <br />4. Show pertinent existing structures, patios, driveways eic., in ihe <br />sketch below. <br />5. Show location of septic tank and drain field. <br />6. Show desired location of sewer stub. �� <br />7. Future plans fcr my property are� /✓��e af i'�vs �,�i� <br />8. Please send me the details of how we can utilize ihe local <br />Improvement Disirict ossassment process to finance the cost of <br />the cannection fees and the cost of constructing ihe side sewer <br />from tha structure to ihe sewer stub at my property line. <br />CHECK ONE �J YES � NO <br />� � <br />�., <br />.�2 � <br />�d � <br />J <br />pTV OF <br />e��erett <br />PUBUG'xCH450EP�niNEX� <br />l:M C[p�q SinEE� <br />�YE4E" r�.l'n1N'�N <br />I�C01 <br />