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,, . <br /> i� <br /> ❑s��c c���2��.���a s�,.�s.cw� s �d' �� <br /> {SAC Cherg�mu��cccnnp�ny ai) �perm�t sppl' ' s unl�s pre�id} <br /> fOranc�Ciry St�ff � �I�t �i�e if �ficab}�) <br /> (If aM Pr�i+i,n stwrr c�aectiwt�rmit�viil�at b�e tss�ed) � <br /> �Se�cr Ca� ' �/ ' i I� ir(550.(i0/Per Sfi�b) � �• <br /> E'i�SJ,Z� _inCh�»a materi�l���SChd AO azr teSieda ca5t irc�i <br /> �Q Wa�c Csnne�tiva/!)�rcoaasr#!R ir{S50.00lPer St�b) S _ .v., _. <br /> Fip��ixe�inch�;matcrial����,'�C�l�d 4Q�r��si�ti:.e_r__ �'�i�' <br /> ❑Wst�r Avai��ility For Fat�re HQoic-Up ta W�ter{SS0.00) � <br /> W�ntcr AvsiMbitiiv F.a��ticr�z <br /> Cc�e � � imtail�ci line ta ir►sirk vf hou�fc�r future Ywak-up- <br /> i`his line wiit b�irtspcxxed by thc Pubtie Wc�s���rtrnent. <br /> ���i���'+c Wat�r�'cynrxctioa PermM i�[�.�ued: <br /> i. lssu+e W��r Mete�&H�»Pe�nnit <br /> 2, Any ticWiticmril t' i+un F�s ' {7f Applicabk;} <br /> ��.,.�I G � _Pe:mi�: <br /> 1. Gc�liect ' F��Issue� Cc�ar�ctio�Pe�rnit <br /> I. S!i#3'f'C1TAL c►f Pe�°rnit Rc��i�i: $ / � • v L/ <br /> ''. S�I'A`1!:SIJRCHA.RGE � 5.(� <br /> 3. Pt)�TAC;L�r.HANt7{.ING(On1y an Mail-in Ap�►licati�sns) 5 2.4U <br /> 4. Tt7fAL P'E IT FE��A�d E,' - !-3 Above) S �l�J� � <br /> `l� `-�*��:::.t <br /> • WATER MET�RS must bc pickec#up �rid fawr�(k�o City I-talt,tt�e are an a_� ° * ��;� <br /> • WAT�R MET� �tust bc sct a�d by WaEcr �cpa at ('9�2) 24 , �p�nw <br /> e�►mpi�fi�r�of �ststl�tba. <br /> The undersi,�ned hereby aP�lies t�tl�c�Cifi�+c►f na for issuartce of a L3tiliry Permit, s tb c� <br /> all w�«rk in � ' � rd with the tmlir�nces of t� Ciry the r��ulatac�n� of t�e �tate t�f <br /> Mir�� �- � � certif�s that all statem�nts m cu�this�a�iica�ircuy�,tr��nd comect. <br /> Appli�i: C�:� � �A� <br />