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HomeMy WebLinkAboutProject Information � 2j2-, ... •... �.-. ti , .. o ._- .l ..r a..,h. w :.1-.�.. ... _x..r ..:..ev .., a:-..xr 'E: ..'': T' e.r.rF''.ri.r.•.('z.Tµ.�-r,.a...k+-h.',.aamof"i':a'at_:aadw..'S..f..-.r, ;'tr�lr�-,.�,,.,,..au:.ti.�.h,, ,...:x.a..a. .l.,�.�-1.1,..•I,*L.e- IT y)r.•x i..,..,ra..-..-.:r+,.;,:.:.-,.".,...�,,`'yr,r.y .._ T.t ;6'S•�!`, Gn't. �`�'HI t��4"L �" "�...W3y ` '7rX? ,f..,. �•, rr. f ,?'!Ni't".�r•,:.!t'' oaSYft}t'ztrx.,s {¢ c WATER F.a:�B© .� IERC 34 $Z ST.I U 1E'COUNTY UTILITIES SEWER - RES �, f NAME 'lf' �S "`";:' !' =< METER SZ. . � �Iv/ ACCT.# a IRR 4 _ JA SECUlI3T Y IEP ` : SERVICE ADDRESS _" SEWICVA— E FEE r, SAME DAY FEE B C►VERTIME FEE. . SUBDIVISION LOT BIrrOCK BILLING DRESS METER INSTALL , -CFGWATER FPUA CFC '" .. °` �P Ht3NE# �.� . . MOVE DVICLOSING DATE r , CFCISEWER _ f.. GUAR.REV. This application.hereby request and authorizes the Utility to render water and/or Sewage disposal services to the-premi'se's described above in'accordaace:with,the Utilities present or.`future rates, .ff ,... LATERAL . rules and�xeglations� which by,referencia are.macie a°patt of";this contrast:Applicant agrces'to gay . .. ,,. lity,;` Mptly f the astabLsiied rules and-rguia to}" the L1t or such services`in°accordance:withr /fix ----5�- . CUSTOMERS DEPOSITS ARE NON NEGOTIABLE QR TRANSFERABLE.' ' §` CUSTOMERSOCIAL SEC t` a, SIGNATURE 1t fj]J7 I/ � M ! ` 'v' M''rtiF'Y" FED:ID D/ 7 v •e a .Y AME OF�SPOUSE 4. SPOUSE SOCIAL SEC. N FI E USE QNLY `DATE°RECEIVE I CASH �H , ' .4tl �� �, .�+ ' � a ., . ?_ . - .. - � r.•t � `:;1 i,�n� •"+ no-`{ t .i$ ,�" ,� '',qt