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~. <br />• <br />LEGAL DESCRIPTION: <br />STREET ADDRESS: <br />OWNER/CONTRACTOR <br />WATER: ~~ <br />SIZE OF MAIN: <br /> <br />.2 , ~ e,el~ <br />LOCATION OF WATER MAIN: STREET EASE/MEoN_T , ALLEY,, <br />ESTIMATED COST: ~C~~3j ~'"' `~~~~ ~'V <br />SEWER: ~+~ ~~h S(' <br />LOCATION OF SEWER MAIN: STREET EASEMENT y , ALLEY <br />APPROXIMATE ELEVATION OF SEWER MAIN: ~~ G~.~.r~° <br />r <br />R TAP TO BE E BY: CITY l ~ CONTRACTOR <br />~~ ~ C~ <br />~< -y -~' J"" '~ ~~/> ~ f~.t3 i-~h ~„~,~ ~C1 y.,ry,•~- ~ r .; v 4 ~ ~ ~ K 1 Wl~/+ry~ . <br />ESTIMATED COST: ? ~ ~ tf" <br />COMMENTS: \~ ~ r) % ~~~ ~ ~f ~~L`~ `~~ (i <br />~- ~ ~?d i -r~y r~L.J~4~?.~t J ~~ ~Crh Ply' ~~ <br />~U ~ ~ <br />J SIGNATURE / , <br />~~ G/ip~ DATE <br />~~ <br />n ~ '~ ~~~ <br />~13d~,~"~' ".q~~~~'o <br />~ry <br />• ~~ <br />`~ UTILITY VER FICATION <br />DATE <br />~z <br />