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21627 97TH AVE W.PDF
111111111111 9536 21627 97TH AVE W APPLICATION 3$TFW, FU for The City of Edmond SEDE SEWER PERMIT EASEMENT No . .......................................... I 'F UCTION REPAIRS 109-02900 OwNER ........... �phn F. Grace ............................................................................................ PERMIT No . ........... .......... ........................................................................ .................... CONTRACTOR ...... ADDRESS ........ 2.1.62.7 ... ..... 9 7-t.h ... A.ve......W . . .................................. .......... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ .. .... .. .. .. .... . NAMEOF ADDITION ............................................................................ ......... .................................................. Dye Tested On Sewer 1972 Approved: DATE................................................ By ......................................................... ............