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'HONE # :; �� MOVE IN/CLOSING DATE
GUAR REV. This application hereby. request and authoriies the Utility to render water and/or sewage disposal
services to the premisesdescribed above in accordance with the Utilities present or future rates,
LATERAL riles and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
1 FED ID
SPOUSE SOCIAL
OFFICE USE ONLY �+/c
CASH - CHK # t RECEIVED By)(� Gl
SCANNED
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St. Lucie County
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