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HomeMy WebLinkAboutImpact Fee- St Lucie County-- -_ WATER K SEWER COMM RES MET 1SZ. M/F S b SECURM DEP SERVICE FEE SAME DAYMM OVERTIME FEE METER INSTALL. " CFCIWATER FPUA CFC CFC/SEWER GUAR. REV. LATERAL $ TOTAL, CUSTOMER SIGNATURE ST. LUCIE CO NAME ACCT: # SERVICE ADDRESS •.• ...vnuuitCJS PHONE # MOVE IN/CLOSING DATE Tens application hereby request and authorizes the Utility to reader water an sewage disposal services to the premises described above in accordance with the Utilities presort or future rates, rules and regulations, which by reference are made a part of this contract. Applicant the Utility promptly for such services is accordance artwittiro _ pp cart agrees to pay CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANS fished rules and regulations. TRANSFERABLE NAME OF SPOUSE 1!--- DATE =RECEIVED IMP179-170 IMP131-170 IMP197-170 IMP 196-170 IMP184-170 IMP191-170 IMP217-170 IMP210-170 IMP131-170 SOCIAL SEC/ FED ID SPOUSE SOCIAL SEC. •�--••-., wr; ONL CASH CHK ;:AIL— RECEIVED BYL- 0170-impact Fee-Schoo!-SFR _.__--- -• _ �.___.._._..---------_-•-•---------- $6,426:00 0170-Impact Fee-Road-SFR- Mainland 0170-Impact Fee -Pub Bldg Other -SF 0170-impact Fee -Pub Bldg Corr - SF 0170-Impact Fee-Paden-SFR 01704mpact Fee -library -SF 0170-imp2ct Fee -Law E for -SF 0170-Impact Fee-FM/EMS-SF 0170-Impact Fee-Road-SFR- $2.616.00 $118.00 $236.00 $1,617-00 $229.00 $217-00 $632.00