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�� �,�. <br /> CHART NO. — <br /> '�:. <br /> ar]H <br /> �.C" �'' '�. <br /> `�>y ' -J 5-�7-93 <br /> �:�x , TO PO�TING_ <br /> aH <br /> y�n � � _ , � <br /> � <br /> � <br /> o xo , • <br /> y �r , �ewer Application and Pernnit <br /> � o� - - <br /> o H d :, ` . i]ATE 9/z5/�2. _ <br /> � �g . ; <br /> r�i� � 8U3 Glst Pl �;ilit AccountNo. <br /> z y� Service Address — Y <br /> � H H Billing Address 3240 EaeriakP Ave E 0200 <br /> g ��i--i ;cattl� NA 9E1102 permit Fee $ _ 70.Ob <br /> o �tn City, State,Zip <br /> � m� Owner � 32�-3770 _ Connection Charge <br /> ZHV+ � ' <br /> H O fA �N!./ra. � vCY�� ; <br /> Connection by Trunk $ <br /> Address Laterel $ �� <br /> Tc!31 Connection Charge $ �'��� <br /> I <br /> Phone —_ Utility Development Fee <br /> ��'� LegalDescription: Wd1ef $ 12"'�� <br /> i� <br /> Lot y Sewer y 5f39.Op <br /> 1�� Block _ Total Development Fee $ 813.OJ�_ <br /> �� , <br /> � Plat Silverhavk at Forent Park <br /> ��� � SewerBondDistrict _ <br /> �s Unplatted Description: <br /> � <br /> . Abutting Lot Line <br /> ���� I N� S, E�W h• <br /> � Type of Permit nev counection Approved By I <br /> Cb <br /> �� ' Remarks Issued By i <br /> � Customer SignaWre <br /> ��'` � � <br /> IMPORTANT! <br /> CALL 1-900-�24-5555 48-HOUAS <br /> PRIOR TO DIGGIN�� • � <br /> Inspection By �-'`y'"/''=a^ I <br /> CALL 259-881.0 FOR INSPECTION I <br /> V _ Date Inspected !'1 '�� ' t I <br /> ; , I <br /> i <br /> SE�SKE:TCH ATfACHED � ;: ., � � 'i <br /> INSPECTION i <br />