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j S�LUCIE„COUNTYUTILI ES�P:O�'BOI�728 AFI' PIERCE FL 34982 , � j i
OWN: 20��
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20WDY, HTLLTP D. IN
/
00 RVICE ADDRESS
W MIPWAY"RD L 1
FDRT PIERCE f
FL 34945 _
Amount Tendered: 51969.00 $MJBDMSIOI�'� 'S PS LOT _BLOCK
Amount Paid:°
5,969.00BILI:INGADDRESs f1
r t
Change Due,: 0.00 f
Thank You f
PHONE,#` MOVE IN,/CLOSING DATE
User ID: MURRAYA
This application hereby request and authorizes the Utility to:render water and/or sewage disposal
......�� - services to'the pxemises�descnbeEl abo�e`in accordance with the Utilities present or future rates,
Hiles and re lahon`s which b reference are made,a' art oftlus contract A licant a ees to a r
t ,LATERAL l ti Y P a PP P Y
a c
�' r the UtiIitypromptly fosuch;semces m accordance with the established rales and cegulahons
TOTAL' C[TSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE
- .: .t _..�,.....,._.�._.•�__...�......_>r._.,....... r._ede_.<<..<. ?...... ,:k.. -„�... .._� .<s,�_...�-,+mac-a.., z=. _- :._. .,. - - - -
CU$TOMER .' OCTAL
SIGNATURE l FED
NAME OF:SPOUSE. SPOUSE SOCIAL SEC ,
- OFFICE USE ONLY 7`
DATE RECEIVED. RECEIVED
RECEIVED
JAN ® 8 20?0
ST. Lucie County, Permitting