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SAC DETERMINATION - 2010
<br /> (In-House Use Only—Updated 10/20/10)
<br /> Date Completed: Date Determination Expires: 12/31/
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<br /> Address: _:�1� � - C'�.�1( �; C��fC_^
<br /> PID:
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<br /> SAC Due: � Yes � No ��I��
<br /> __��_ ,��� K,
<br /> If Demo Permit Being Issued —Get Copy of Utility Bill to Attach to Demo Permit: ❑ Attached
<br /> Comments to Key on Permit:
<br /> r`� ,}
<br /> Notes: � � ��� �1
<br /> �.��;��, ;- ,,�= ��
<br /> Completed By: `, y__�__ Date Completed: C, � � � I
<br /> �' ( ,
<br /> Note: .I • �r
<br /> � � �
<br /> , � �
<br /> • This form is for residential properties only that are already in a sewer area � ��
<br /> � `�
<br /> • Any commercial, industrial, religious or schools—determinations are made by Met Council in a letter ,
<br /> format(Lyle is contact personJ
<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 person)
<br />
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