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Sewer Application and Permit <br />-�� z�, a� <br />Service Address <br />DATE 4/z/93 <br />9 56th P1 SS <br />B(11111g AddreBS — 16610 B�el-Had IId i20� <br />CftY� State, Zip �».,�,• va oenm <br />Owner <br />Conr�ection by �� � <br />' I Address <br />S <br />Phone <br />Legal DescripGon: <br />Lot 66 <br />Blodc <br />P� :Ian�hreiek ii <br />Unplatted Description: <br />Type of Permft <br />Remarks <br />liw conn�ction <br />IMPORTANT! <br />CALL 1-800-4245555 48-HOUR5 <br />PRIOR TO DiGGING <br />CALL 259-8810 FOR INSPECTION <br />CHART NO. <br />TO Pi!STING �o - i�1-93 <br />Utilfty Ac�ount No. <br />...:-�* <br />Permit Fee $ n:rns; o_; . 0.00 y�p�� y` { <br />1�4Q� ��4�1�F <br />Connection Charge � _ <br />faCA39877 . <br />Trunk �� �'`'�`�� <br />PL . <br />Laterel �� 3110.OU <br />Et. � . <br />Total Connection Charg� � �•� <br />URVW'! 426.00 <br />Utility Development Fee 800080.?78 <br />DPT.20 � 1�.00 <br />Water qpp�p�sas <br />WAT� 31�.00 <br />Sewer #�. ' -- <br />Totai Development Fee ��� ��.— <br />�0039844 <br />F�DG 6567.50 <br />Sewer Bond Distrfct �-� �'�'�-i-e <br />MECH 590. (10 <br />Abutting Lot Line E�pG 4IO.QrI <br />B SRGi 34.50 <br />N, S, E, W �, ft. <br />APProved By R00007596 <br />Issued By <br />lip0U8D3 � q Gb <br />UF';{'�.00 <br />Customer S!gnature ��1�ia-"`�i i9 � <br />SEIJER 470.00 <br />1171l5 31'79.00 <br />c►��; ssvzs.s� <br />Inspection By �'%A�' <br />Date Inspected y 2 � – �'� <br />SEE SKETCH ATTACHED <br />INSPECTION ,... 2 9 f 3 7 <br />. <br />