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SAC DETERMINATION - 2010
<br /> • (In-House Use Only-Updated 10/20/10)
<br /> Date Completed: �' ��' I �Z- Date Determination Expires: 12/31/
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<br /> SAC Due: � Yes ❑ No ✓ /- ij, , �- -- �<f !�
<br /> �i �i� � �,��1�. �� 1-����j �;�`e-f .
<br /> If Demo Permit Being Issued-Get Copy of Utility Bill to Attach to Demo Permit: ❑ Attached � j; �-�� � I r
<br /> �- �7
<br /> . �
<br /> Comments to Key on Permit: _ y � • � � �
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<br /> C �---1 V"C.v�� � � r � �.�( �
<br /> Notes � l, \� �
<br /> a----� ���
<br /> Completed By: � Date Completed: �� ' � ��.
<br /> Note:
<br /> • This form is for residential properties onlv that are already in a sewer area
<br /> • Any commercial, industrial, religious or schools-determinations are made by Met Council in a letter
<br /> format(Lyle is contact person)
<br /> • Not for properties currently on septic, wantinp to hook-up to sewer for first time. These properties may
<br /> not qualify, or may have to pay large sewer assessments in addition to SAC
<br /> (Scott is the contact personJ
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