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".P..�... . . .. _ . . . � . <br /> G <br /> � � <br /> i <br /> i <br /> Date � � ;'zrtii � <br /> *� <br /> APPLICATION <br /> Deferred Sewer Connection Charge� <br /> Applicant : � <br /> 1�_�+e ts-l��s <br /> Address : p/� � �S-y� <br /> _��7��'� gg� � 259-4077 <br /> � i <br /> ; Site Address: ��'3D �l�.�y„�„�l ��� ,���r w <br /> _��s�-� �'.�- �-z� z <br /> Reference: Ordinance No. 113�-85 allows de1'erral for <br /> amounts in excess oi' �5,000 for a period <br /> not to' exceed six (E) months. <br /> Total Sewer Connection Charge � 37,eos.00 <br /> Less =Srnount Paid � 5,000.00 <br />� <br />� 1'rensurer's Receipt So. 76938 <br /> i __ <br /> i <br /> Balance Due � j2,8o8.00 <br /> llate Balance Due December il, 1985 <br /> Note: Balances due that exceed $50, 000 will require a <br /> current title report and mailing address for all <br /> parties listed on the title report . <br /> �- - <br /> LARRY C WF <br /> City rluthorization <br />