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21616 92ND AVE W
APPLICATION
for
The City of Edmonas SIDE SEWER PERMT
NEW CONSTRUCTION n REPAIRS E] EASEMENT No . ..........................................
Peter 1,lattum
VNER .............................................................................................................. .................................................................... PERMIT No . ......................
OV CONTRACTOR ..............................
ADDRESS ......... ..... ... 9.2n.d ... Av.e 11 ........... .................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
.. .... .. ..... .. . . .
0
NAMEOF ADDITION ........................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................