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� <br />� ;� <br />CHART NO. <br />�, <br />iJ <br />L1 <br />TO�POSTING�f -�_y <br />Y'. C� � r, C� C7 :� C:• $� -� p� <br />LL �..� CJ (� � ..� J <br />r� �' p�� � Y� �. r' G � f:l CO <br />Q� — cc � � �-i <br />C�, b� 'n .� :N p.J l:l <br />h� OS . <br />Sewer Application a � Per�ni�r' � "' <br />� r_ <br />�, °. �_ <br />oc�„ ' �-'m�' . " <br />n e iy �� �w�Pi>L:-'oweu` '-,� <br />�ccxCi �'-�� <br />.... ZJ�� A ' y LZ� -.._. 4iH <br />� lil Ll lL :` ? �C (�j <br />DATE 4-18-9G <br />ServiceAddrs�s z407 56th St SW <br />BillingAddress �� 12311 James xd <br />' Ciry, State, Zip Minnetonka HN 55343 <br />Ownef J8Y DaRosier <br />Connectton by <br />Address <br />Phone <br />; Legal Description: <br />� �pt 80 Powder M111 Highlande <br />� Block <br />Plat <br />� Unplatted Descdption: <br />Type of Permit nAw connection <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOUHS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utflity Account No. <br />PermitFee $ 70.00 <br />Connectfon Charge <br />Trunk $ _ <br />Lateral $ _ <br />Total Connection Charge $ _ <br />Utility Development Fee <br />Water $ <br />Sewer $ _ <br />Total Development Fee $ _ <br />Sewer Bond Dfstrict _ <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By � <br />Customer Signature _ <br />-0- <br />224.00 <br />224.00 <br />Inspedfon By ��'� �/>->/�i> <br />Date Inspected S- -z r' �y <br />INSPECTION <br />'=: 2:171 ° <br />.:, <br />��� <br />n. <br />