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S�w�r Appl'Kotion and P�rmit <br />No. 23048 <br />DATE y- -2� - 2�- <br />c�+��T,�o. P � -Z8 s <br />�05;�0 <br />6--/J-?S <br />J t3 <br />��,y A�� 96 z Cjy (� �•r - Utility Account No. 7� �� � <br />.� D% <br />�M A��s . � , „�. � �/O.'S Permit Fce <br />� a�� Z�p � D Connection Charge�s) ��d O� <br />. tl� <br />�/./�.1/1G1.. f 1, --/ G / <br />�� (���) �������_ _ _ t otal Fee <br />�INin� N�m� .1 <br />OMMNCtb� <br />A�� <br />Ma�N ��2A -.--f06� <br />pE�Clll►TION: <br />N�t _1j, <br />:%nPbtHd <br />Signed <br />Customsr <br />Stlwer Diatrict 3 s <br />Monthly Sewer Service � '-�a <br />Monthly Sewer Constr. <br />fEE fKETCM ATTACMED <br />INSPECTION <br />Trunk o? • � � �d�� <br />Lateral_ <br />Abutting Lot Line <br />N,S,E,W <br />Approved By '�� <br />cc�r E�NM« <br />Ixued B� / <br />� <br />In�pection By� <br />D�te I mpacted � ' � � � <br />NO. ��' <br />