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/0- NJ7.Ot/F O °13 <br />lalc3r11:!:nn;c Drr';'.!?'rNn:�1r <br />1"t1 N011G 1'i;17•SJ'i' )l;:'n;t11A.'J'7hi1 <br />TYPE <br />p,) <br />2) F.'.^. is .1.'.RVICE To 13L PAID )ADIOR): 1)U):LDICG <br />PL, !:IT IS ISSNLD <br />(A) 70 M' DE MU17.11ED BY )?)',1'sG.1 I1;S1'. 34- -mmil <br />(C) MIST. — [4ATER SIMMICEt APPL. 140. <br />(C) APPP,Ox. I.00ATI011 '�•S oF' - or �3�A Sr, <br />t,0pp�4�t E�Ntu cam_ /—off__... c1n:Rx S-2gCP . <br />3) D.'V.W. AY VEMSIT TOBE PAM D�U!OARE +WILDING <br />rM.-UT.T.v XS.SUL'D S FT. D/Ir ('TYPE) �� $L` <br />lOTh1, 3 Sq d v <br />4) S:r.TUS OF ER'ER C1)ARGES:_..— <br />BD:;D ))X STRICT___.a4S _ )'OOTAGE <br />�N, St 8j W. <br />SE[•1E1t CONNECT.Ml C))ArG1.S : <br />YEAR -7 -7 'Lilmr. /2(.41�11�) $ <br />Y ATFML <br />TOT -AY, CONNECTION CHARGE $ <br />oz zo,od .. <br />S$P17:R• I'VINUT Fr3L /�`' 9�9� $ .� <br />CA'.CC1I 13ASIII rmuin rrE <br />TOTAL SEl'1Elt PIirMT Pi -ES <br />SEPi1:R <br />CONJ;'MUCTION: <br />2� <br />X ATMIAL <br />APPIM. LOCATION OF <br />SIDE SMILIt OR TfT X11 <br />TN 14AIN: <br />��. <br />11WO CJ\P ILED <br />BY: <br />_ DATE <br />_ <br />DhTr <br />PhOJE.CT DIVIS3.011 <br />DATE <br />hldf:11:1;h12) <br />IJ:: I)1?I`f�! t'I'I1VM'I` <br />� <br />