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� - - . . .__. . _ _ _ _. _. ._._ _ _ _-- --- � -._._.__ .. <br /> rt �-�., r � �- ��s '� � SIDE SEWER PERMIT� - , � �-�y, <br /> � � - ,,;, o -,. <br /> , f - �, <br /> �. ° , <br /> �, <br /> -'�' N9 6:4 <br /> „ . <br /> ,, <br /> ;: �he undersigned Owner hereby makes application for a sewer connection to sewer mains of the Dist�ict; <br /> i:. for property described as tollows s <br /> {', Legal Description: lotl: 7. 110C1? c;�, F.vr�••;;t;;,�'.i«, The Owner hereby agrees' to 6e'bound by all <br /> rules and regulations,`now in'.force or as herer <br /> 'e' inafter amended, of the 5ewer District. <br /> f`i � :1i9Et�a L11 . <br /> . . '� J. . 1"O]^u. . �, � , . <br /> � / <br /> '. � �/�✓1'/ f � ���' �c%l..li'ii' <br /> . .. ...... ..' -' ..." ••""""'-��...{......'--"...._ <br /> � Address: , -�wn�s=s Signature <br /> r{.: . � Gaa.r�sa'YerS � <br /> f. . �15 [����:y fT�C.� <br /> a, ................................................••--•--.....---•�--•----..............._ --:%�£tl6?-1-�---rh'n. nF�S71 ._......................... <br /> (i. � <br /> €.. .---•..................�--••-----....---...----..........................._.........---• ......._............_.....---.........._.....----�------•._........----•.... <br /> r, Owner's Mailing Address <br /> * OZ'�Pn Cui; t �:i•,�:lt ..� jC. O`� <br /> ��. �kS6PS6triYttt�:�l0. .........--•----.....••....................• -......_....---...----••••----_-...•••.....---_•._.................._... <br /> ......'-""....._ . <br /> ; F,ide t�f::P.2' �i �Llh r.ermit ,j��(��� <br /> t( �, t. y ' "_""".....'•""•'••"'_"""•""..:..........."""_""c"'..... <br /> �lde :.e�e, 'per�;lt (2) ;�C.QC Billing Address <br /> � ^ � ���• .�. <br /> , , . — ..�. . -• - - , <br /> � Contractor _.�f...i:.:.).�?:•-_...Y�'2�a:!.:.:.:.......••---• --.....----......---..... License No. .u,.�...1...-.!l.�s..-./�.l.f.a-••-•----.....: <br /> � After installation, the system shall be inspected by a representotive of the District before covering. The prop- <br /> erty owner shall be responsible for all operotions, maintenance and repair of the side sewer. <br /> ' .,,. � y_: i, <br /> ' �� �.� ! . 7 <br /> � Permit issued by: .... ./..!.:�Gr.,�...L'� • ' ' ' Date• ' ` - � <br /> : - , <br /> , ..........:............•....../............_...............---...... . ... ...:F��a.... w..-•-•••...•_•- <br />