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� CHART NO. — <br /> I TO POSTING__97_/,T/9;i <br /> � <br /> � <br /> � �' ' � � � - � <br /> I � C C.! <br /> o � r�i I , H .,� <br /> y �M '; Sewer Application and Permit a ,J � <br /> � yz ' _ . � � ; , ;. <br /> ';1 y H ,`�n i �- '� DATF 4/7/93 <br /> x <br /> o �t7 I Service Address SS26 lac vr t; Utility Account No. <br /> 5 <br /> H [��7 g �I Billing Address z3� C m t <br /> �" aan 70.00 <br /> z y� I City, State,Zip �eratt NA 9Ei2u7 Permit Fee S <br /> �y H I Owner Selecc liomea Connection Charge <br /> �C y i Connection by � 1 Z �x c a.� Trunk $ _ <br /> �y � � Address Lateral $ <br /> H O y i 0.0 0 <br /> Total Connection Charge $ <br /> � i Phone Utilily Development Fee <br /> f ' � Water g 179.00 <br /> � Legal Description: <br /> � �� `9 Sewer $ <br /> Lot <br /> Block Total Cevelopment Fee a <br /> 179.00 <br /> � __ I'I P�a� llana6rook lliv 3 <br /> ��� Sewer Bond District PLIn C1 <br /> I Unplatled Description: — <br /> i _ Abutting Lol Line <br /> T�I I � N,S� E,W R' <br /> � �, tlev connection A roved 8 <br /> Type ot Permit PP Y <br /> ca <br /> � 1= I� Remarks Issued By <br /> �. <br /> Cuslomer Signature <br /> I <br /> `� I IMPOR7ANT! <br /> ' CALL 1-500-424-5555 48-HOURS <br /> �i PRIOR TO DIGGING <br /> � Inspection By F'��`'�""" <br /> CALL 259-8810 FOR INSPECTION �_�-93 <br /> , <br /> Date Inspected <br /> ' SEE SKETCH ATYACHED ?q .� � � ' <br /> � W SF'ECTION , <br />