HomeMy WebLinkAboutUtility Company Approval Y(T F
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WATER Comm S'E'LUCIE C S-P.®.BOX 728 . ::P1F1 F'L-4982
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GUAR.REV This"application hereby request sudsu arizes the T7tlZity to rander water and/or sewage disposal
services to the.premises described abovo in accordance- vithtbe Utilities present or Enure rates, t
LATERAL, rules and.ragalations,which by re€creuce,am made a part of this contact;Applicant agr=.to gay
the Utility-promptly for such.services in accgrdapcc dth;the established rules and regulations.
L TOTAL}�
... _ ... _ CUSTWLYtCJ.S DEPOS11 7i ARE NONNEGOTIABLE ORTRAMML&BLE.
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CUSTOALHft SOCIAL SEC!
BItTIAT'tJ1tB FED:ID .
NAMB:.OF SPOUSE SPOUSE SOCIAL SEC_
( OFFYCE USE ONLY , r�
DATE RECEIVED •, °0 GASH CHIC O 4"1� RECEIVED BY
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