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F'-;.y.�.,: .� :�:i e P 7 .�. �r��:1�-.�;.---?+t.'i; .:�?* .:�. . -'."� '�;�� .—?F'�u.;"..'S',i:� ^�' •`Ra':'r7+`X�'�^c .Y3i-'.,_'__.:."'_f�'.—^'� <br /> , A}�f"T:. . . <br /> i ' <br /> � <br /> � , CHART NO. — i <br /> �: <br /> � <br />� <br /> � - �`a P�JSTING s�- �-��' ; <br /> =; <br /> ;.-. . <br /> C� ; � ,� �, < <, - ; <br /> � t"� G �.} L'i � <br /> - ' - . i <br /> ' '^j .:1 �� i� ' � �.-i � <br /> 1 rn M1 � <br /> Sewer Application andy Perr�i� � ' „ �� . <br /> - �J �yJ J ]:. r- y8 4i u I_� .�+ f_� <br /> Y 1 G .J C:� C.i r'' 'f „o- O 1-� O - lti <br /> r � J W .: , ii O �' CY l. - .: <br /> :c cl. ii. �.. i.i ').i '. _: < [ -: �_.: <br /> ? 3$� 0 DATE ��� 7� 20-�y � -' <br /> /n � I <br /> Service Address ���� � �.�y�—..%-Utility Account No. <br /> BillingA�dress L+� ��2` �4�'�> >�%') �- I <br /> ." � � _ /� ll <br /> City, Sta;e,Zip � LI�G'� � Permit Fee $ _ � <br /> Owner / %� /'���" /' /)"�74�Ji Connecqon Charge <br /> I <br /> Connection by Trunk $ ; <br />� � <br /> Address Lateral $ <br /> Total Connection Charge $ �' �' <br /> I <br /> I <br />, Phona Utility Deveiopment Fee ! <br /> i <br /> Legal Description: Water $ � 79- GG i <br /> �ot / ` � � l�,71�i;�.UE2.�� sewer g �7/� G lJ ; <br /> . ; <br />� Block Total Development Fee $ ��'J r�. �'l� <br /> Plat ' <br />� Unplatted Description: _ Sewer Bond District I <br />�� Abutting Lot Line �, <br /> N, S, E, W ft. <br /> Type of Permit �"� /) Y)P/" !i/�_y�_ Approved Ry I <br /> Remarks Issued By ��� " <br /> ! <br /> jCustomer Sfgnature C � <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO pIGGING <br /> � �G ��s���� <br /> i CALL 259-8810 FOR INSPECTION Inspection By, ���T�,o p � ; <br /> Date Inspected "�l"��%94 ' <br /> SEE SKETCH ATTA�HED <br /> � INSPECTION Z�� u � I <br /> i � <br />